Individual ProviderEric LeePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address16219 Jada Way, Oregon City, OR 97045-8205(510) 364-6522PECOS EnrollmentBased on the most recent information from CMS, provider Eric Lee 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 ID1194391342Provider TypeIndividualFull NameLee, EricCredentialDPTGenderMaleSole ProprietorNoEnumeration Date5/28/2021Last Updated5/28/2021Contact InformationPractice LocationPractice Address16219 Jada Way, Oregon City, OR 97045-8205Phone(510) 364-6522FaxUnlisted FaxMailing LocationMailing Address16219 Jada Way, Oregon City, OR 97045-8205PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense299772California