Individual ProviderAnna WilsonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address19721 S Highway 213, Oregon City, OR 97045-4190(503) 342-6519PECOS EnrollmentBased on the most recent information from CMS, provider Anna Wilson 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 ID1982234472Provider TypeIndividualFull NameWilson, AnnaGenderFemaleSole ProprietorNoEnumeration Date1/23/2020Last Updated1/23/2020Contact InformationPractice LocationPractice Address19721 S Highway 213, Oregon City, OR 97045-4190Phone(503) 342-6519FaxUnlisted FaxMailing LocationMailing Address19721 S Highway 213, Oregon City, OR 97045-4190PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense63415Oregon