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GENESIS MEDICAL GROUP II, INC
NPI 1790712073
Prosthetic/Orthotic Supplier in Portland, OR

Active since June 26, 2006
10802 SE WASHINGTON ST, PORTLAND, OR 97216(503) 231-1529(503) 231-7805 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Genesis Medical Group Ii, Inc NPPES

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

GENESIS MEDICAL GROUP II, INC (NPI 1790712073) is a healthcare organization registered as a prosthetic/orthotic supplier in Portland, Oregon and active in the NPI registry since June 2006. The organization lists Wyatt James Brown, Director Of Operation, as its authorized official.

NPPES Registry Identity

NPI1790712073
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameGENESIS MEDICAL GROUP II, INC
Location Address10802 SE WASHINGTON STPortland, OR 97216-3118
Mailing Address10802 Se Washington StPortland, OR 97216-3118 · (503) 231-1529 · Fax (503) 231-7805
Phone(503) 231-1529
Fax(503) 231-7805
Organization SubpartNo
Authorized OfficialWyatt James BrownDirector Of Operation · (503) 231-1529
Enumeration DateJune 26, 2006
Last NPPES UpdateJune 28, 2012
✔ NPI 1790712073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
10802 SE WASHINGTON ST, Portland, OR 97216
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Other Identifiers 2

Medicaid123617OR
Medicare PIN047929001OR

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.

GENESIS MEDICAL GROUP LLC
Prosthetic/Orthotic Supplier
10802 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 699-1911
EAST PORTLAND PERITONEAL DIALYSIS CLINIC, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
10802 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 254-4426

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 II, Inc's NPI number?

The NPI number for Genesis Medical Group II, Inc is 1790712073. It was assigned to this organization in the NPPES registry on June 26, 2006.

Where is Genesis Medical Group II, Inc located?

Genesis Medical Group II, Inc is located at 10802 SE Washington St, Portland, OR 97216. The listed phone number is (503) 231-1529.

What is Genesis Medical Group II, Inc'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 II, Inc was last updated on June 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.