OrganizationActive
Genesis Medical Group II, Inc
NPI 1790712073 · Prosthetic/Orthotic Supplier · Portland, OR
Genesis Medical Group II, Inc is a Prosthetic/Orthotic Supplier organization in Portland, OR (NPI 1790712073).
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
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
10802 Se Washington St
Portland, OR 97216-3118
Phone: (503) 231-1529
Fax: (503) 231-7805
Street-level locationGet directions
Mailing address
10802 Se Washington St
Portland, OR 97216-3118
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2012-06-28
Frequently asked questions
- What is Genesis Medical Group II, Inc's NPI number?
- Genesis Medical Group II, Inc's National Provider Identifier (NPI) is 1790712073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Medical Group II, Inc?
- Genesis Medical Group II, Inc is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Genesis Medical Group II, Inc located?
- Genesis Medical Group II, Inc's practice location on file with NPPES is 10802 Se Washington St, Portland, OR 97216-3118.
- What is Genesis Medical Group II, Inc's phone number?
- The practice phone number listed in the NPPES registry for Genesis Medical Group II, Inc is (503) 231-1529.
- Who is the authorized official for Genesis Medical Group II, Inc?
- The authorized official listed on Genesis Medical Group II, Inc'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 II, Inc's NPI active?
- Yes — Genesis Medical Group II, Inc's NPI (1790712073) is active in the NPPES registry as of the last update on 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.