Individual ProviderAmber Lauren McculloughPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address610 High St, Oregon City, OR 97045-2241(503) 657-8903PECOS EnrollmentBased on the most recent information from CMS, provider Amber Lauren Mccullough 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 ID1750660213Provider TypeIndividualFull NameMccullough, Amber LaurenCredentialPT, DPTGenderFemaleSole ProprietorNoEnumeration Date8/15/2011Last Updated5/2/2018Contact InformationPractice LocationPractice Address610 High St, Oregon City, OR 97045-2241Phone(503) 657-8903Fax(503) 650-4302Mailing LocationMailing AddressPO Box 1126, Oregon City, OR 97045-0081Phone(503) 657-8903Fax(503) 650-4302Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense06646Oregon