Genesis Medical Group Llc - Portland, OR

Genesis Medical Group Llc

Prosthetic/Orthotic Supplier in Portland, Oregon

NPI 1013214014

Genesis Medical Group Llc is a Prosthetic/Orthotic Supplier based in Lake Oswego, OR. Genesis Medical Group Llc practices in Portland, OR. The NPI Number for Genesis Medical Group Llc is 1013214014 and holds a License No. (Oregon).

The current practice location address for Genesis Medical Group Llc is 10802 Se Washington St, Portland, OR and can be reached out via phone at 503-699-1911 and via fax at 503-699-1912. You can also correspond with Genesis Medical Group Llc through the mailing address at 16679 BOONES FERRY RD STE 215, LAKE OSWEGO, OR - 97035-4368 (mailing address contact number: 503-699-1911).

Location: 10802 Se Washington St, Portland, OR, 97035-4368

NPI Number

1013214014

Provider Name

Genesis Medical Group Llc

Credential

Provider Entity Type

Organization

Address

10802 Se Washington St, Portland, OR, 97035-4368

Phone Number

503-699-1911

Fax Number

503-699-1912

Provider Enumeration Date

02/28/2011

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
500608071	05	OR

Address

10802 Se Washington St

City

Portland

State

Oregon

Zip

97216-3118

Phone Number

503-699-1911

Fax Number

503-699-1912

Address

16679 Boones Ferry Rd Ste 215

City

Lake Oswego

State

Oregon

Zip

97035-4368

Phone Number

503-699-1911

Fax Number

503-699-1912

Type

Suppliers

Classification

Prosthetic/Orthotic Supplier

Speciality

Taxonomy

335E00000X

License No.

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Definition

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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