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Contact Information

GENESIS MEDICAL GROUP II, INC
10802 SE WASHINGTON ST
PORTLAND, OR97216-3118
 Phone: 503-231-1529
 Fax: 503-231-7805
 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 II, INC

NPI # 1790712073
LBN Legal business name GENESIS MEDICAL GROUP II, INC
Authorized official WYATT BROWN - (DIRECTOR OF OPERATION)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2006
Last updated 06/28/2012 - About 14 years ago
Identifiers
OR Medicaid 123617
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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