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Centennial Medical Group Inc fax number
(541) 229-0213
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Orthopedics
Used for: New patient registration and intake submission
Fax destination details
- Department
- Orthopedics
- Purpose
- New patient registration and intake submission
- Form
- New patient registration form — Centennial Medical Group Orthopedics New Patient Registration/Consent Form
- Address
- 2460 NW Stewart Parkway, Suite 100, Roseburg, OR 97471
- Voice phone
- 541-229-2663
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete the patient information and consent sections in the form and submit to Centennial Medical Group. For submission by fax, send to 541-229-0213; include patient name and DOB.
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