Individual ProviderBrandon PoundstonePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1424 Molalla Ave, Oregon City, OR 97045-4004(503) 744-4916PECOS EnrollmentBased on the most recent information from CMS, provider Brandon Poundstone 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 ID1457016461Provider TypeIndividualFull NamePoundstone, BrandonGenderMaleSole ProprietorNoEnumeration Date11/4/2021Last Updated11/4/2021Contact InformationPractice LocationPractice Address1424 Molalla Ave, Oregon City, OR 97045-4004Phone(503) 744-4916FaxUnlisted FaxMailing LocationMailing Address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer