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Contact Information

GENESIS MEDICAL GROUP, LLC
17394 BOONES FERRY RD
LAKE OSWEGO, OR97035-5218
 Phone: 503-636-1877
 Fax: 503-636-1880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for GENESIS MEDICAL GROUP, LLC

NPI # 1770924235
LBN Legal business name GENESIS MEDICAL GROUP, LLC
Authorized official SHERYL PRICE - (DIRECTOR OF REIMBURSEMENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/12/2013
Last updated 01/10/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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