GENESIS MEDICAL GROUP, LLC.
NPI 1326290248
Prosthetic/Orthotic Supplier in Longview, WA

Active since October 22, 2008
1338 COMMERCE AVE STE D, LONGVIEW, WA 98632(503) 699-1911(503) 699-1912 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Genesis Medical Group, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS MEDICAL GROUP, LLC. (NPI 1326290248) is a healthcare organization registered as a prosthetic/orthotic supplier in Longview, Washington and active in the NPI registry since October 2008. The organization lists Wyatt James Brown, Director Of Operation, as its authorized official.

NPPES Registry Identity

NPI1326290248
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameGENESIS MEDICAL GROUP, LLC.
Location Address1338 COMMERCE AVE STE DLongview, WA 98632-3743
Mailing Address16679 Boones Ferry Rd Ste 215Lake Oswego, OR 97035-4368 · (503) 699-1911 · Fax (503) 699-1912
Fax(503) 699-1912
Organization SubpartYes
Authorized OfficialWyatt James BrownDirector Of Operation · (503) 699-1911
Enumeration DateOctober 22, 2008
Last NPPES UpdateApril 3, 2012
NPI 1326290248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
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.

1338 COMMERCE AVE STE D, Longview, WA 98632

Other Identifiers 1

Medicaid2005775WA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326290248, enumerated as an "organization" on October 22, 2008.

The provider is located at 1338 COMMERCE AVE STE D LONGVIEW, WA 98632 and the phone number is (503) 699-1911.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.