OrganizationActive
Genesis Medical Group, LLC.
NPI 1740538115 · Prosthetic/Orthotic Supplier · Portland, OR
Genesis Medical Group, LLC. is a Prosthetic/Orthotic Supplier organization in Portland, OR (NPI 1740538115).
Provider details
- NPI number
- 1740538115
- 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
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1515 Nw 18th Ave
Suite 100
Portland, OR 97209-2516
Phone: (503) 699-1911
Fax: (503) 699-1912
Street-level locationGet directions
Mailing address
16679 Boones Ferry Rd
Lake Oswego, OR 97035-4365
Registry dates
- Enumerated
- 2012-08-16
- Last updated
- 2012-08-16
Frequently asked questions
- What is Genesis Medical Group, LLC.'s NPI number?
- Genesis Medical Group, LLC.'s National Provider Identifier (NPI) is 1740538115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Medical Group, LLC.?
- Genesis Medical Group, LLC. is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Genesis Medical Group, LLC. located?
- Genesis Medical Group, LLC.'s practice location on file with NPPES is 1515 Nw 18th Ave, Portland, OR 97209-2516.
- What is Genesis Medical Group, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Genesis Medical Group, LLC. is (503) 699-1911.
- Who is the authorized official for Genesis Medical Group, LLC.?
- The authorized official listed on Genesis Medical Group, LLC.'s NPPES record is Wyatt Brown, Director of Operation. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Medical Group, LLC.'s NPI active?
- Yes — Genesis Medical Group, LLC.'s NPI (1740538115) is active in the NPPES registry as of the last update on 2012-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.