Individual ProviderBrycen Jared LeePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1630 Beavercreek Rd Ste A, Oregon City, OR 97045-4156(503) 607-0047(808) 397-3777PECOS EnrollmentBased on the most recent information from CMS, provider Brycen Jared Lee 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 ID1942090584Provider TypeIndividualFull NameLee, Brycen JaredCredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date5/7/2025Last Updated5/26/2025Contact InformationPractice LocationPractice Address1630 Beavercreek Rd Ste A, Oregon City, OR 97045-4156Phone(503) 607-0047FaxUnlisted FaxMailing LocationMailing Address25636 SW Canyon Creek Rd Apt R101, Wilsonville, OR 97070-5662Phone(808) 397-3777FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense65718Oregon