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Genesis Medical Group, Llc.
Prosthetic/Orthotic Supplier in Lake Oswego, Oregon
NPI 1457517138

Genesis Medical Group, Llc. is a Prosthetic/Orthotic Supplier based in Lake Oswego, OR. Genesis Medical Group, Llc. practices in Lake Oswego, OR. The NPI Number for Genesis Medical Group, Llc. is 1457517138 and holds a License No. 1355445-0 (Oregon).

The current practice location address for Genesis Medical Group, Llc. is 16679 Boones Ferry Rd Ste 215, Lake Oswego, OR and can be reached out via phone at 503-699-1911 and via fax at 503-699-1912.

Location: 16679 Boones Ferry Rd Ste 215, Lake Oswego, OR, 97035-4368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457517138
Provider Name
Genesis Medical Group, Llc.
Credential
Provider Entity Type
Organization
Address
16679 Boones Ferry Rd Ste 215, Lake Oswego, OR, 97035-4368
Phone Number
503-699-1911
Fax Number
503-699-1912
Provider Enumeration Date
08/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500608071 05 OR
081911000 01 OR BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
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
person
Provider Business Mailing Address Details
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
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
1355445-0 (Oregon)
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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