Individual ProviderAdam James FaganPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address19461 Westling Dr, Oregon City, OR 97045-6913(503) 936-7433PECOS EnrollmentBased on the most recent information from CMS, provider Adam James Fagan 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 ID1649654609Provider TypeIndividualFull NameFagan, Adam JamesTitleDr.CredentialDPTGenderMaleSole ProprietorNoEnumeration Date7/18/2015Last Updated7/18/2015Contact InformationPractice LocationPractice Address19461 Westling Dr, Oregon City, OR 97045-6913Phone(503) 936-7433FaxUnlisted FaxMailing LocationMailing Address19461 Westling Dr, Oregon City, OR 97045-6913PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer