Genesis Medical Group Ii, INC

NPI #1790712073 in Portland, Oregon

Provider Information

NPI Number
1790712073
Entity Type
Organization
Organization Name
Genesis Medical Group Ii, INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jun 26, 2006
Last Updated
Jun 28, 2012

Practice Location

Address
10802 SE WASHINGTON ST
State
Oregon
ZIP Code
97216-3118
Phone
(503) 231-1529

Authorized Official

Name
MR. WYATT JAMES BROWN, C.PED.
Title
DIRECTOR OF OPERATION
Phone
(503) 231-1529

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Prosthetic/Orthotic Supplier

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