Genesis Medical Group Llc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Portland, Oregon. This organization is also known as sub part of Genesis Medical Group, Llc. It is situated at 10802 Se Washington St, Portland 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. Other organizations associated with this store are Genesis Medical Group Llc, Genesis Medical Group Ii, Inc, 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.
10802 Se Washington St, Portland, Oregon, 97216-3118
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:
1013214014
Parent Organization:
Genesis Medical Group, Llc
NPI Enumeration Date:
28 Feb, 2011
NPI Last Update On:
14 Aug, 2012
Other Associated Organizations:
Other organizations which are associated with this store are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
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
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
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 10802 Se Washington St, Portland, 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 09 December, 2024.