Organization
GENESIS MEDICAL GROUP, LLC.
Active
Parent organization
GENESIS MEDICAL GROUP, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS MEDICAL GROUP, LLC.
Authorized official
WYATT J BROWN CPED (DIRECTOR OF OPERATION)
(503) 699-1911
Entity
Organization
Contact information
Practice address
1515 NW 18TH AVE, SUITE 100, PORTLAND, OR 97209-2516
(503) 699-1911
(503) 699-1912
Mailing address
16679 BOONES FERRY RD, 215, LAKE OSWEGO, OR 97035-4365
(503) 699-1911
(503) 699-1912
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us