Genesis Medical Group Ii, Inc

LBN: Genesis Medical Group Ii, Inc
Genesis Medical Group Ii, Inc is an health care organization with primary practice located at 10802 Se Washington St , Portland OR 97216-3118. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Genesis Medical Group Ii, Inc can be contacted via phone (503) 231-1529, or through Brown, Wyatt James via phone (503) 231-1529.

Contact Information

Primary practice address
10802 Se Washington St Portland OR 97216-3118
Fax: (503) 231-7805
Website:
Authorized official contact:
Name: Brown, Wyatt James C.PED.

Health care specialties

Profile Details

NPI number 1790712073
LBN Legal business name Genesis Medical Group Ii, Inc
DBA Doing business as
Authorized official Brown, Wyatt James C.PED.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2006
Last updated Jun 28th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790712073 NPPES
Oregon MEDICAID 123617

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