OrganizationActive
Genesis Medical Group II, Inc
NPI 1790712073 · Prosthetic/Orthotic Supplier · Portland, OR
Provider details
- NPI number
- 1790712073
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Wyatt Brown, Director of Operation(503) 231-1529
Specialties & taxonomies
Suppliers
Suppliers
Practice location
10802 Se Washington St
Portland, OR 97216-3118
Phone: (503) 231-1529
Fax: (503) 231-7805
Approximate (ZIP-level) locationGet directions
Mailing address
10802 Se Washington St
Portland, OR 97216-3118
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2012-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.