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: August 09, 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Medical Group, LLC.'s NPI number?

The NPI number for Genesis Medical Group, LLC. is 1326290248. It was assigned to this organization in the NPPES registry on October 22, 2008.

Where is Genesis Medical Group, LLC. located?

Genesis Medical Group, LLC. is located at 1338 Commerce Ave Ste D, Longview, WA 98632. The listed phone number is (503) 699-1911.

What is Genesis Medical Group, LLC.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Genesis Medical Group, LLC. was last updated on April 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.