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GENESIS MEDICAL GROUP, LLC.
NPI 1457517138
Prosthetic/Orthotic Supplier in Lake Oswego, OR

Active since August 01, 2008
16679 BOONES FERRY RD STE 215, LAKE OSWEGO, OR 97035(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 16, 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 1457517138) is a healthcare organization registered as a prosthetic/orthotic supplier in Lake Oswego, Oregon and active in the NPI registry since August 2008. The organization lists Wyatt James Brown, Director Of Operation, as its authorized official.

NPPES Registry Identity

NPI1457517138
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameGENESIS MEDICAL GROUP, LLC.
Location Address16679 BOONES FERRY RD STE 215Lake Oswego, OR 97035-4368
Mailing Address16679 Boones Ferry Rd Ste 215Lake Oswego, OR 97035-4368 · (503) 699-1911 · Fax (503) 699-1912
Phone(503) 699-1911
Fax(503) 699-1912
Organization SubpartNo
Authorized OfficialWyatt James BrownDirector Of Operation · (503) 699-1911
Enumeration DateAugust 1, 2008
Last NPPES UpdateApril 3, 2012
✔ NPI 1457517138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in OR · 1355445-0
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.
16679 BOONES FERRY RD STE 215, Lake Oswego, OR 97035
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Other Identifiers 3

Other081911000OR · Blue Cross Blue Shield
Medicaid500608071OR
Medicare NSC6179510001OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA BALL DMD
Dentist (General Practice)
16679 BOONES FERRY RD STE 215
LAKE OSWEGO, OR 97035
Clackamas County (503) 636-7601
MARLO BULZA DMD
Dentist (General Practice)
16679 BOONES FERRY RD STE 215
LAKE OSWEGO, OR 97035
Clackamas County (503) 636-7601

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 1457517138. It was assigned to this organization in the NPPES registry on August 1, 2008.

Where is Genesis Medical Group, LLC. located?

Genesis Medical Group, LLC. is located at 16679 Boones Ferry Rd Ste 215, Lake Oswego, OR 97035. 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.

What insurance does Genesis Medical Group, LLC. accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Genesis Medical Group, LLC. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.