Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Countryside Medical LLC

Organization Primary Care Clinic/Center · NPI 1467205336

Countryside Medical LLC is a Primary Care Clinic/Center in Salem, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2355 State St Ste 101
Salem, OR 97301-4541
Phone: (503) 930-1854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1467205336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natalie Polzen — Fnp-C · (503) 930-1854
NPI enumeratedApril 9, 2024
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024
Mailing address2355 State St Ste 101, Salem, OR 97301-4541

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