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Genesis Medical Group, LLC.

Prosthetic/Orthotic Supplier in Lake Oswego, OR · enumerated 2008 · authorized official Wyatt Brown, Director of Operation.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457517138

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Registry record

Entity type Organization (Type 2)
Legal business name Genesis Medical Group, LLC.
Practice address 16679 Boones Ferry Rd Ste 215, Lake Oswego, OR, 97035
Phone (503) 699-1911
Fax (503) 699-1912
Enumeration date Aug 1, 2008
Last updated in NPPES Apr 3, 2012

Taxonomy & classification

335E00000X Prosthetic/Orthotic Supplier Suppliers · License 1355445-0 (OR) Primary

Authorized official

Name Wyatt Brown
Title Director of Operation
Phone (503) 699-1911

Other identifiers

Identifier Type State Issuer
500608071 Medicaid OR -
081911000 Other OR BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Genesis Medical Group, LLC.?
The NPI for Genesis Medical Group, LLC. is 1457517138, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Genesis Medical Group, LLC.?
NPPES lists Wyatt Brown (Director of Operation) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-04-03.