Organization
GENESIS MEDICAL GROUP, LLC
Active
Parent organization
HANGER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC
Authorized official
MS. SHERYL SHEFFIELD PRICE (DIRECTOR OF REIMBURSEMENT)
(503) 493-8288
Entity
Organization
Contact information
Practice address
17394 BOONES FERRY RD, LAKE OSWEGO, OR 97035-5218
(503) 636-1877
(503) 636-1880
Mailing address
17394 BOONES FERRY RD, LAKE OSWEGO, OR 97035-5218
(503) 636-1877
(503) 636-1880
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/12/2013
Last updated
01/10/2014
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