Active NPI
Pacific Healthcare Group
- Durable Medical Equipment & Medical Supplies
- Beaverton, OR
National Provider Identifier
1881063766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Durable Medical Equipment & Medical Supplies
- Auburn, WA
- NPI 1104206556
5496044430
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Genesis Medical | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Pacific Healthcare Group
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Auburn, WA
- NPI 1104206556
-
- Durable Medical Equipment & Medical Supplies
- Auburn, WA
- NPI 1861840415
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.