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GENESIS MEDICAL GROUP, LLC.
NPI 1740538115
Prosthetic/Orthotic Supplier in Portland, OR

Active since August 16, 2012
1515 NW 18TH AVE, SUITE 100, PORTLAND, OR 97209(503) 699-1911(503) 699-1912 Get Directions Write a Review

NPPES record last updated: August 16, 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 1740538115) is a healthcare organization registered as a prosthetic/orthotic supplier in Portland, Oregon and active in the NPI registry since August 2012. The organization lists Wyatt J Brown, Director Of Operation, as its authorized official.

NPPES Registry Identity

NPI1740538115
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameGENESIS MEDICAL GROUP, LLC.
Location Address1515 NW 18TH AVE, SUITE 100Portland, OR 97209-2516
Mailing Address16679 Boones Ferry Rd, 215Lake Oswego, OR 97035-4365 · (503) 699-1911 · Fax (503) 699-1912
Phone(503) 699-1911
Fax(503) 699-1912
Organization SubpartYes
Authorized OfficialWyatt J BrownDirector Of Operation · (503) 699-1911
Enumeration DateAugust 16, 2012
✔ NPI 1740538115 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.
1515 NW 18TH AVE, Portland, OR 97209
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Other Providers at the Same Location NPPES 18

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

MR. JAMES ROBERT WEGGENMAN PT
Physical Therapist
1515 NW 18TH AVE, STE 400, PETTYGROVE PHYSICAL THERAPY AND SPORTS REHAB.
PORTLAND, OR 97209
Multnomah County (503) 228-1306
MR. LEO FRANCIS QUINN JR. PT
Physical Therapist
1515 NW 18TH AVE, STE 400
PORTLAND, OR 97209
Multnomah County (503) 228-1306
NORTHWEST AMBULATORY SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
1515 NW 18TH AVE, STE 200
PORTLAND, OR 97209
Multnomah County (503) 542-4888
DR. IRA M WEINTRAUB MD
Orthopaedic Surgery (Sports Medicine)
1515 NW 18TH AVE, SUITE 300
PORTLAND, OR 97209
Multnomah County (503) 224-8399
MR. JUSTIN ROBERT THIBEAULT PA-C
Physician Assistant (Surgical)
1515 NW 18TH AVE, 3RD FLOOR
PORTLAND, OR 97209
Multnomah County (503) 224-8399
BARRY A JACOSHENK PA-C
Physician Assistant (Surgical)
1515 NW 18TH AVE, SUITE 300
PORTLAND, OR 97209
Multnomah County (503) 224-8399
RONALYN C REYES PA-C
Physician Assistant
1515 NW 18TH AVE
PORTLAND, OR 97209
Multnomah County (503) 224-8399
MRS. KATHERINE DESPINA BRADEN DPT
Physical Therapist
1515 NW 18TH AVE, SUITE 400
PORTLAND, OR 97209
Multnomah County (503) 228-1306

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 1740538115. It was assigned to this organization in the NPPES registry on August 16, 2012.

Where is Genesis Medical Group, LLC. located?

Genesis Medical Group, LLC. is located at 1515 NW 18th Ave Suite 100, Portland, OR 97209. 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 August 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.