Graduated: 1990
NPI: 1629037486
Practice Locations (2)
CENTENNIAL MEDICAL GROUP INC
2510 NW EDENBOWER BLVD, SUITE 112
ROSEBURG, OR 974718899
5415414646
CENTENNIAL MEDICAL GROUP INC
2700 NW STEWART PKWY
ROSEBURG, OR 974711281
5416772452
Source: CMS National Downloadable File, September 2026.