Genesis Medical Group, Llc.

LBN: Genesis Medical Group, Llc.
Genesis Medical Group, Llc. is an health care organization with primary practice located at 1515 Nw 18Th Ave Suite 100, Portland OR 97209-2516. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Genesis Medical Group, Llc. can be contacted via phone (503) 699-1911, or through Brown, Wyatt J via phone (503) 699-1911.

Contact Information

Primary practice address
1515 Nw 18Th Ave Suite 100 Portland OR 97209-2516
Phone: (503) 699-1911
Fax: (503) 699-1912
Website:
Map and Directions
Authorized official contact:
Name: Brown, Wyatt J CPED
Phone: (503) 699-1911

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1740538115
LBN Legal business name Genesis Medical Group, Llc.
DBA Doing business as
Authorized official Brown, Wyatt J CPED
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 16th, 2012
Last updated Aug 16th, 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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