Individual ProviderJohn IrwinPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1511 Division St Ste 201a, Oregon City, OR 97045-1589(503) 657-6747PECOS EnrollmentBased on the most recent information from CMS, provider John Irwin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1104407758Provider TypeIndividualFull NameIrwin, JohnCredentialDPTGenderMaleSole ProprietorNoEnumeration Date4/15/2021Last Updated4/15/2021Contact InformationPractice LocationPractice Address1511 Division St Ste 201a, Oregon City, OR 97045-1589Phone(503) 657-6747FaxUnlisted FaxMailing LocationMailing Address1511 Division St Ste 201a, Oregon City, OR 97045-1589PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense61644Oregon