Individual ProviderVincent BlaneyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1715 S Beavercreek Rd, Oregon City, OR 97045-4119(503) 657-0490(503) 636-3028PECOS EnrollmentBased on the most recent information from CMS, provider Vincent Blaney 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 today at 10:05 AM.Profile DetailsProvider ID1851360929Provider TypeIndividualFull NameBlaney, VincentCredentialP.T.GenderMaleSole ProprietorNoEnumeration Date3/14/2006Last Updated5/9/2008Contact InformationPractice LocationPractice Address1715 S Beavercreek Rd, Oregon City, OR 97045-4119Phone(503) 657-0490Fax(503) 557-0490Mailing LocationMailing Address101 S State St, Suite 200g, Lake Oswego, OR 97034-3900Phone(503) 636-3028Fax(503) 636-1837Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense4431OregonProvider IdentifiersIDDescriptionIssuerID183019DescriptionMedicaidIssuerUnlistedOregon