Organization Active NPI

Pacific Healthcare Group

  • Durable Medical Equipment & Medical Supplies
  • Beaverton, OR
National Provider Identifier
1881063766
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PACIFIC HEALTHCARE GROUP
Doing business as
Genesis Medical Group
Practice address
10180 SW Laurel Rd
Beaverton, OR 97005-3211
Phone
(253) 486-0500
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
James A Ort Jr.
Title
Owner
Phone
(253) 486-0506

Specialties & licenses 1

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

Addresses

Primary practice location

10180 SW Laurel Rd
Beaverton, OR 97005-3211

Mailing address

4150 B PL NW Ste 101
Auburn, WA 98001-2449
Phone (253) 486-0500

Other names 1

  • Genesis Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251014002460 OR DME Supplier - Medical Supply Company 5496044430 Practice locations: Beaverton, OR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Genesis Medical10180 SW Laurel Rd, Beaverton, OR 97005-3209(971) 204-7394 Continuous Passive Motion (CPM) Devices|Pneumatic Compression Devices and/or Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Off-The-Shelf|Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices Accepts assignmentParticipating since May 16, 2016

National Provider Directory

National Provider Directory
Tax ID family
Pacific Healthcare Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10180 SW Laurel St
Beaverton, OR 97005
Phone (253) 486-0500

1515 NW 18th Ave
Ste 100
Portland, OR 97209
Phone (503) 699-1911

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1881063766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 B PL NW STE 101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980012449",
            "telephone_number": "253-486-0500",
            "fax_number": "253-486-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 SW LAUREL RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053211",
            "telephone_number": "253-486-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTHCARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "ORT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-486-0506",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesis Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.