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Active NPI 1528489903 Individual Practitioner Female Practitioner

Genesis Mesa , LPN

Licensed Practical Nurse • Portland, OR

Professional Overview & Biography Verified Profile Summary

Genesis Mesa, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Portland, OR. Practice services are available at 4531 SE BELMONT ST STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4531 Se Belmont St Ste 100

Portland, OR 972151675

Telephone 5033359980

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
213 Specialists

Practicing in Portland, OR (741 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OR 200630448LPN

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1104902659

Doctor of Medicine (M.D.)

Allison Gillock , PTA

Physical Therapy Assistant

NPI 1568975670

Physical Therapist Assistant

Carol Hill , RN

Registered Nurse - Community Health

NPI 1700244431

Registered Nurse

Tasja Dubenko , COTA, L

Occupational Therapy Assistant

NPI 1801376876

Certified Occupational Therapy Assistant, L

Debbie Mudgett , RN

Registered Nurse

NPI 1881944932

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2014

Registered at 4531 SE BELMONT ST STE 100, PORTLAND, OR 972151675 (Tel: 5033359980)

📍
Updated Business Mailing Address January 02, 2014

Registered at 4531 SE BELMONT ST STE 100, PORTLAND, OR 972151675 (Tel: 5033359980)

👤
Provider Name / Credentials Updated January 02, 2014

Recorded as GENESIS MESA, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2014

Licensed Practical Nurse (License #200630448LPN in OR)

🟢
Initial NPI Registration & Enumeration January 02, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528489903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2014
Last Update: January 02, 2014
Sole Proprietor: Yes

Mailing Address

4531 Se Belmont St Ste 100

Portland, OR 972151675

Phone: 5033359980

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.