COUNTRYSIDE MEDICAL LLC
NPI 1467205336
Clinic/Center - Primary Care in Salem, OR

Active since April 09, 2024
2355 STATE ST STE 101, SALEM, OR 97301(503) 930-1854 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Countryside Medical Llc NPPES

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

COUNTRYSIDE MEDICAL LLC (NPI 1467205336) is a healthcare organization registered as a primary care in Salem, Oregon and active in the NPI registry since April 2024. The organization lists Natalie Polzen, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1467205336
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOUNTRYSIDE MEDICAL LLC
Location Address2355 STATE ST STE 101Salem, OR 97301-4541
Mailing Address2355 State St Ste 101Salem, OR 97301-4541 · (503) 930-1854
Organization SubpartNo
Authorized OfficialNatalie PolzenFnp-c · (503) 930-1854
Enumeration DateApril 9, 2024
NPPES CertifiedApril 9, 2024
NPI 1467205336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2355 STATE ST STE 101, Salem, OR 97301

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Marriage & Family Therapist
2355 STATE ST STE 101
SALEM, OR 97301
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Marriage & Family Therapist
2355 STATE ST STE 101
SALEM, OR 97301
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Social Worker (Clinical)
2355 STATE ST STE 101
SALEM, OR 97301
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301

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 Countryside Medical LLC's NPI number?

The NPI number for Countryside Medical LLC is 1467205336. It was assigned to this organization in the NPPES registry on April 9, 2024.

Where is Countryside Medical LLC located?

Countryside Medical LLC is located at 2355 State St Ste 101, Salem, OR 97301. The listed phone number is (503) 930-1854.

What is Countryside Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Countryside Medical LLC was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.