Individual ProviderAndrew FifieldPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address610 High Street, Oregon City, OR 97045(503) 657-8903PECOS EnrollmentBased on the most recent information from CMS, provider Andrew Fifield 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 yesterday at 10:05 AM.Profile DetailsProvider ID1750432902Provider TypeIndividualFull NameFifield, AndrewTitleMr.CredentialDPTGenderMaleSole ProprietorNoEnumeration Date1/15/2007Last Updated5/13/2010Contact InformationPractice LocationPractice Address610 High Street, Oregon City, OR 97045Phone(503) 657-8903Fax(503) 650-4302Mailing LocationMailing AddressPO Box 1126, Oregon City, OR 97045Phone(503) 657-8903Fax(503) 650-4302Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense4775OregonCode174400000XDescriptionSpecialistOther Service ProvidersLicense4775OregonProvider IdentifiersIDDescriptionIssuerID241288DescriptionMedicaidIssuerUnlistedOregon