Family Medicine
CENTENNIAL MEDICAL GROUP EAST, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1134436637 · enumerated 2010-09-03 · record updated 2025-07-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KIMBERLY TYREE, COO · (541) 229-3332
Addresses and phones
- Practice location 2570 NW EDENBOWER BLVD, ROSEBURG, OR, 97471-6214 (541) 677-2494 Fax (541) 677-2294 Google Maps Apple Maps OpenStreetMap
- Mailing address 2570 NW EDENBOWER BLVD, ROSEBURG, OR, 97471-6214 (541) 677-7200 Fax (541) 677-7200 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine 207P00000X · License 71216890 OR
- Physician Assistant 363A00000X · License 71216890 OR
- Family Medicine 207Q00000X · Primary · License 71216890 OR
In this directory
Locations and evidence
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Practice location
ROSEBURG, OR, 974716214
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.