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Countryside Medical LLC

Primary Care Clinic/Center in Salem, OR · enumerated 2024 · authorized official Natalie Polzen, Fnp-C.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467205336

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Registry record

Entity type Organization (Type 2)
Legal business name Countryside Medical LLC
Practice address 2355 State St Ste 101, Salem, OR, 97301
Phone (503) 930-1854
Enumeration date Apr 9, 2024
Last updated in NPPES Apr 9, 2024

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Natalie Polzen
Title Fnp-C
Phone (503) 930-1854

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Countryside Medical LLC?
The NPI for Countryside Medical LLC is 1467205336, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Countryside Medical LLC?
NPPES lists Natalie Polzen (Fnp-C) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-09.