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Genesis Medical Group, Llc.
Prosthetic/Orthotic Supplier in Longview, Washington
NPI 1326290248

Genesis Medical Group, Llc. is a Prosthetic/Orthotic Supplier based in Lake Oswego, WA. Genesis Medical Group, Llc. practices in Longview, WA. The NPI Number for Genesis Medical Group, Llc. is 1326290248 and holds a License No. (Washington).

The current practice location address for Genesis Medical Group, Llc. is 1338 Commerce Ave Ste D, Longview, WA and can be reached out via phone at 503-699-1911 and via fax at 503-699-1912.

Location: 1338 Commerce Ave Ste D, Longview, WA, 97035-4368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326290248
Provider Name
Genesis Medical Group, Llc.
Credential
Provider Entity Type
Organization
Address
1338 Commerce Ave Ste D, Longview, WA, 97035-4368
Phone Number
503-699-1911
Fax Number
503-699-1912
Provider Enumeration Date
10/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2005775 05 WA
institution
Provider Business Practice Location Address Details
Address
1338 Commerce Ave Ste D
City
Longview
State
Washington
Zip
98632-3743
Phone Number
503-699-1911
Fax Number
503-699-1912
person
Provider Business Mailing Address Details
Address
1338 Commerce Ave Ste D
City
Longview
State
Washington
Zip
98632-3743
Phone Number
503-699-1911
Fax Number
503-699-1912
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
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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