Genesis Medical Group, Llc.
Prosthetic & Orthotic Supplier
16679 Boones Ferry Rd Ste 215, Lake Oswego
Oregon, 97035-4368
503-699-1911 503-699-1912
Maps & DirectionsGenesis Medical Group, Llc. is a Prosthetic & Orthotic Supplier in Lake Oswego, Oregon. It is situated at 16679 Boones Ferry Rd Ste 215, Lake Oswego and its contact number is 503-699-1911. The authorized person of Genesis Medical Group, Llc. is Mr. Wyatt James Brown
who is Director Of Operation of the store and his/her contact number is 503-699-1911. Primary license number for Genesis Medical Group, Llc. is 1355445-0 in Oregon.
Genesis Medical Group, Llc. is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Profile:
Genesis Medical Group, Llc. Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 16679 Boones Ferry Rd Ste 215, Lake Oswego,
Oregon, 97035-4368 |
| Phone: | 503-699-1911 |
| Fax: | 503-699-1912 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Wyatt James Brown |
| Position: | Director Of Operation |
| Contact Number: | 503-699-1911 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Genesis Medical Group, Llc. center are as mentioned below.
| NPI Number: | 1457517138 |
| NPI Enumeration Date: | 01 Aug, 2008 |
| NPI Last Update On: | 03 Apr, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Genesis Medical Group, Llc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | 1355445-0 | Oregon | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500608071 | Medicaid | Oregon | |
| 081911000 | Other | Oregon | Blue Cross Blue Shield |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Genesis Medical Group, Llc.
16679 Boones Ferry Rd Ste 215,
Lake Oswego, Oregon |
| Zip: | 97035-4368 |
| Phone Number: | 503-699-1911 |
| Fax Number: | 503-699-1912 |
Patients can reach Genesis Medical Group, Llc. at
16679 Boones Ferry Rd Ste 215, Lake Oswego, Oregon or can
call to book an appointment on 503-699-1911.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.