institution
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.

Location: 10802 Se Washington St, Portland, OR, 97035-4368
institution
Provider Profile Details
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
500608071 05 OR
institution
Provider Business Practice Location Address Details
Address
10802 Se Washington St
City
State
Zip
97216-3118
Phone Number
503-699-1911
Fax Number
503-699-1912
person
Provider Business Mailing Address Details
Address
10802 Se Washington St
City
State
Zip
97216-3118
Phone Number
503-699-1911
Fax Number
503-699-1912
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
()
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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