Physician Assistant, Surgical
CENTENNIAL MEDICAL GROUP WEST, 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 Plan acceptance stays unpublished until the practice reports it.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 1063710192 · enumerated 2011-03-15 · record updated 2011-03-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: RAHUL AGARWAL, President · (541) 677-2494
Other names: CENTENNIAL SURGICAL ASSISTANTS
Addresses and phones
- Mailing address 2801 NW MERCY DR STE 340, ROSEBURG, OR, 97471-2348 (541) 677-2494 Fax (541) 677-2294 Google Maps Apple Maps OpenStreetMap
- Practice location 2700 NW STEWART PKWY, ROSEBURG, OR, 97471-1281 (541) 677-2494 Fax (541) 677-2294 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary
In this directory
Locations and evidence
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Practice location
ROSEBURG, OR, 974711281
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.