OrganizationActive
Countryside Medical LLC
NPI 1467205336 · Primary Care Clinic/Center · Salem, OR
Countryside Medical LLC is a Primary Care Clinic/Center organization in Salem, OR (NPI 1467205336).
Provider details
- NPI number
- 1467205336
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Natalie Polzen, Fnp-C(503) 930-1854
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2355 State St Ste 101
Salem, OR 97301-4541
Phone: (503) 930-1854
Street-level locationGet directions
Mailing address
2355 State St Ste 101
Salem, OR 97301-4541
Registry dates
- Enumerated
- 2024-04-09
- Last updated
- 2024-04-09
- Certified
- 2024-04-09
Frequently asked questions
- What is Countryside Medical LLC's NPI number?
- Countryside Medical LLC's National Provider Identifier (NPI) is 1467205336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Medical LLC?
- Countryside Medical LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Countryside Medical LLC located?
- Countryside Medical LLC's practice location on file with NPPES is 2355 State St Ste 101, Salem, OR 97301-4541.
- What is Countryside Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Countryside Medical LLC is (503) 930-1854.
- Who is the authorized official for Countryside Medical LLC?
- The authorized official listed on Countryside Medical LLC's NPPES record is Natalie Polzen, Fnp-C. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Medical LLC's NPI active?
- Yes — Countryside Medical LLC's NPI (1467205336) is active in the NPPES registry as of the last update on 2024-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.