Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

CANBY OF OLYMPUS, LLC
NPI 1003738428
Assisted Living Facility in Canby, OR

Active since July 28, 2026
390 NW 2ND AVE, CANBY, OR 97013(503) 749-9874 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canby Of Olympus, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANBY OF OLYMPUS, LLC (NPI 1003738428), doing business as Countryside Memory Care, is a healthcare organization registered as an assisted living facility in Canby, Oregon and active in the NPI registry since July 2026. The organization lists Owen Hammond, President, as its authorized official.

NPPES Registry Identity

NPI1003738428
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCANBY OF OLYMPUS, LLC
Location Address390 NW 2ND AVECanby, OR 97013-3626
Mailing Address390 Nw 2nd AveCanby, OR 97013-3626 · (208) 401-9600
Organization SubpartNo
Authorized OfficialOwen HammondPresident · (208) 401-9600
Enumeration DateJuly 28, 2026
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1003738428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
390 NW 2ND AVE, Canby, OR 97013

Other Names 2

Doing Business AsCountryside Memory Care
Doing Business AsCountryside Memory Care South

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Alzheimer Center (Dementia Center)
390 NW 2ND AVE
CANBY, OR 97013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canby Of Olympus, LLC's NPI number?

The NPI number for Canby Of Olympus, LLC is 1003738428. It was assigned to this organization in the NPPES registry on July 28, 2026. The provider is doing business as Countryside Memory Care and Countryside Memory Care South.

Where is Canby Of Olympus, LLC located?

Canby Of Olympus, LLC is located at 390 NW 2nd Ave, Canby, OR 97013. The listed phone number is (503) 749-9874.

What is Canby Of Olympus, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Canby Of Olympus, LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.