Genesis Medical Group LLC
NPI #1013214014 in Portland, Oregon
Provider Information
- NPI Number
- 1013214014
- Entity Type
- Organization
- Organization Name
- Genesis Medical Group LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GENESIS MEDICAL GROUP, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 28, 2011
- Last Updated
- Aug 14, 2012
Practice Location
Authorized Official
- Name
- MR. WYATT JAMES BROWN, CPED
- Title
- DIRECTOR OF OPERATION
- Phone
- (503) 699-1911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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