Centennial Medical Group East LLC
Doing business as Evergreen Family Medicine - North
Rural health clinic in Sutherlin, OR, Medicare certification number 383917.
Medicare certification
Provider of Services- CCN
- 383917
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 2B
- Participating since
- Jul 24, 2023
- Last certification
- May 14, 2026
- Address
- 249 Dakota Street
Sutherlin, OR 97479
(541) 529-4711
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Evergreen Family Medicine North
- Family Medicine Physician
- Sutherlin, OR
- NPI 1164124111
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.