Genesis Medical Group, Llc. is a Prosthetic & Orthotic Supplier (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 Center 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.
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
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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