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 1740538115

Genesis Medical Group, LLC is a Prosthetic/Orthotic Supplier in Portland, Oregon. Registered with an NPI since 2012.

In the registry since
2012
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

1515 NW 18th Ave Ste 100
Portland, OR 97209-2516
Phone: (503) 699-1911
Fax: (503) 699-1912
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1740538115
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesis Medical Group, LLC
Authorized official Wyatt Brown — Director Of Operation · (503) 699-1911
NPI enumeratedAugust 16, 2012
Last updated in NPPESAugust 16, 2012
Mailing address16679 Boones Ferry Rd, 215, Lake Oswego, OR 97035-4365

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