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 1457517138

Genesis Medical Group, LLC is a Prosthetic/Orthotic Supplier in Lake Oswego, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

16679 Boones Ferry Rd Ste 215
Lake Oswego, OR 97035-4368
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 · Licence 1355445-0 (OR)

Record details

NPI number1457517138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wyatt Brown — Director Of Operation · (503) 699-1911
NPI enumeratedAugust 1, 2008
Last updated in NPPESApril 3, 2012
Mailing address16679 Boones Ferry Rd Ste 215, Lake Oswego, OR 97035-4368

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