Individual ProviderDylan WilePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address19721 Or 213, Oregon City, OR 97045(503) 305-8455(541) 505-0120PECOS EnrollmentBased on the most recent information from CMS, provider Dylan Wile 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 ID1528625621Provider TypeIndividualFull NameWile, DylanGenderMaleSole ProprietorNoEnumeration Date5/23/2019Last Updated5/23/2019Contact InformationPractice LocationPractice Address19721 Or 213, Oregon City, OR 97045Phone(503) 305-8455FaxUnlisted FaxMailing LocationMailing Address12660 SE Shell Ln, Milwaukie, OR 97222-8806Phone(541) 505-0120FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense63260Oregon