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1740538115
GENESIS MEDICAL GROUP, LLC.
PORTLAND, OR
NPI
1740538115
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Entity Type
Organization
Authorized Contact
WYATT J BROWN
Director Of Operation
503-699-1911
Organization Subpart ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2012-08-16
Last Update Date
2012-08-16
Business Address
GENESIS MEDICAL GROUP, LLC.
1515 NW 18TH AVE SUITE 100
PORTLAND, OR 97209-2516
Phone number: 503-699-1911
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Mailing Address
GENESIS MEDICAL GROUP, LLC.
16679 BOONES FERRY RD 215
LAKE OSWEGO, OR 97035-4365
Phone number: 503-699-1911
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