Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Medical Group LLC

Organization Prosthetic/Orthotic Supplier · NPI 1013214014

Genesis Medical Group LLC is a Prosthetic/Orthotic Supplier in Portland, Oregon. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10802 SE Washington St
Portland, OR 97216-3118
Phone: (503) 699-1911
Fax: (503) 699-1912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1013214014
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesis Medical Group, LLC
Authorized official Wyatt Brown — Director Of Operation · (503) 699-1911
NPI enumeratedFebruary 28, 2011
Last updated in NPPESAugust 14, 2012
Mailing address16679 Boones Ferry Rd Ste 215, Lake Oswego, OR 97035-4368

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