Organization
GENESIS MEDICAL CONCEPTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GREGORY (OWNER)
(503) 344-6642
Entity
Organization
Contact information
Practice address
2020 8TH AVE STE 222, WEST LINN, OR 97068
(503) 344-6642
(503) 305-7045
Mailing address
1710 WILLOW CREEK CIR, STE 1, EUGENE, OR 97402-9192
(877) 343-3758
(541) 852-4110
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2008974
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008974
CITY OF LAKE OSWEGO BUSINESS LICENSE
OR
Enumeration date
10/02/2015
Last updated
06/11/2019
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