Organization · Type 2 NPI

Countryside Medical LLC

Primary Care Clinic/Center · Salem, OR

NPI number 1467205336 Active

Practice location

2355 State St Ste 101
Salem, OR 97301-4541

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1467205336

Countryside Medical LLC's National Provider Identifier is 1467205336, issued on Apr 9, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Salem, OR. The record was last updated on Apr 9, 2024.