COUNTRYSIDE MEDICAL LLC

SALEM, OR
NPI1467205336
Entity TypeOrganization
Authorized ContactNATALIE POLZEN
Fnp C
503-930-1854
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2024-04-09
Last Update Date2024-04-09
Business Address
COUNTRYSIDE MEDICAL LLC
2355 STATE ST STE 101
SALEM, OR 97301-4541
Phone number: 503-930-1854
Mailing Address
COUNTRYSIDE MEDICAL LLC
2355 STATE ST STE 101
SALEM, OR 97301-4541
Phone number: 503-930-1854
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