Organization Active NPI

Genesis Medical Concepts, LLC

  • Durable Medical Equipment & Medical Supplies
  • Vancouver, WA
National Provider Identifier
1376913301
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2008974 Issued in OR
Legal business name
GENESIS MEDICAL CONCEPTS, LLC
Practice address
2600 NE Andresen Rd Ste 150
Vancouver, WA 98661-7355
Phone
(503) 344-6642
Fax
(503) 305-7045
NPI assigned
Oct 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Todd Erickson
Title
Owner
Phone
(360) 309-9177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2008974 OR Primary

Addresses

Primary practice location

2600 NE Andresen Rd Ste 150
Vancouver, WA 98661-7355

Mailing address

2600 NE Andresen Rd Ste 150
Vancouver, WA 98661-7355
Phone (503) 344-6642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170913000222 OR DME Supplier - Orthotic Personnel 7416220413 Practice locations: Vancouver, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gensis Medical Concepts LLC2600 NE Andresen Rd, Vancouver, WA 98661-7355(503) 344-6642 Continuous Passive Motion (CPM) Devices|Osteogenesis Stimulators|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Jul 7, 2017

National Provider Directory

National Provider Directory

Locations

2020 8th Ave
Ste 222
West Linn, OR 97068
Phone (503) 344-6642

2600 NE Andresen Rd
Ste 150
Vancouver, WA 98661
Phone (503) 344-6642

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1376913301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NE ANDRESEN RD STE 150",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617355",
            "telephone_number": "503-344-6642",
            "fax_number": "503-305-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NE ANDRESEN RD STE 150",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617355",
            "telephone_number": "503-344-6642",
            "fax_number": "503-305-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-309-9177"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "2008974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.