OrganizationActive
Genesis Medical Group, LLC.
NPI 1326290248 · Prosthetic/Orthotic Supplier · Longview, WA
Provider details
- NPI number
- 1326290248
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Genesis Medical Group, LLC.
- Organization subpart
- Yes
- Authorized official
- Wyatt Brown, Director of Operation(503) 699-1911
Specialties & taxonomies
Suppliers
Practice location
1338 Commerce Ave Ste D
Longview, WA 98632-3743
Phone: (503) 699-1911
Fax: (503) 699-1912
Approximate (ZIP-level) locationGet directions
Mailing address
16679 Boones Ferry Rd Ste 215
Lake Oswego, OR 97035-4368
Registry dates
- Enumerated
- 2008-10-22
- Last updated
- 2012-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.