Individual ProviderElizabeth HendersonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1630 Beavercreek Rd Ste A, Oregon City, OR 97045-4156(503) 607-0047(503) 489-1174PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Henderson 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 ID1346800661Provider TypeIndividualFull NameHenderson, ElizabethCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date6/18/2019Last Updated6/18/2019Contact InformationPractice LocationPractice Address1630 Beavercreek Rd Ste A, Oregon City, OR 97045-4156Phone(503) 607-0047Fax(503) 607-0051Mailing LocationMailing Address1480 NE Village St, Fairview, OR 97024-3827Phone(503) 489-1174Fax(503) 489-1650Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense63268Oregon