Organization · Type 2 NPI

Genesis Medical Group, Llc.

Prosthetic/Orthotic Supplier · Portland, OR

NPI number 1740538115 Active

Practice location

1515 NW 18th Ave, Suite 100
Portland, OR 97209-2516

Call (503) 699-1911 Map

Fax (503) 699-1912

Mailing address

16679 Boones Ferry Rd, 215
Lake Oswego, OR 97035-4365

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.

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About NPI 1740538115

Genesis Medical Group, Llc.'s National Provider Identifier is 1740538115, issued on Aug 16, 2012. 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 16, 2012.