Organization · Type 2 NPI

Genesis Medical Group LLC

Prosthetic/Orthotic Supplier · Portland, OR

NPI number 1013214014 Active

Practice location

10802 SE Washington St
Portland, OR 97216-3118

Fax (503) 699-1912

Mailing address

16679 Boones Ferry Rd Ste 215
Lake Oswego, OR 97035-4368

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: 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.

2 other providers at this address

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About NPI 1013214014

Genesis Medical Group LLC's National Provider Identifier is 1013214014, issued on Feb 28, 2011. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Portland, OR. The record was last updated on Aug 14, 2012.