GENESIS MEDICAL GROUP LLC. NPI 1740538115

NPI Information

GENESIS MEDICAL GROUP, LLC. is a prosthetic orthotic supplier in Portland, OR. The provider 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. GENESIS MEDICAL GROUP, LLC. NPI is 1740538115. The provider is registered as an organization entity type.

The provider's business location address is:

1515 NW 18TH AVE
SUITE 100
PORTLAND, OR
ZIP 97209-516
Phone: (503) 699-1911
Fax: (503) 699-1912

The provider's authorized official is Wyatt J Brown .
The authorized official title is Director Of Operation and has the following contact phone number (503) 699-1911.

The enumeration date for this NPI number is 8/16/2012 and was last updated on 8/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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