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Mary Catherine Pasquesi

Social Worker

Behavioral Health & Social Service Providers

3550 N Interstate Ave, Interstate Medical Office East, Portland, OR 97227-1196

PECOS Enrollment

This provider is enrolled in PECOS as MARY PASQUESI.

Based on the most recent information from CMS, provider Mary Catherine Pasquesi is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1215266101
Provider Type
Individual
Full Name
Pasquesi, Mary Catherine
Title
Mrs.
Credential
MSW, LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
12/23/2009
Last Updated
1/4/2022

Contact Information

Practice Location

3550 N Interstate Ave, Interstate Medical Office East, Portland, OR 97227-1196

(503) 331-5213

(503) 331-5044

Mailing Location

5540 NE 22nd Ave, Portland, OR 97211-5522

(503) 287-0456

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 4495 Oregon

Mary Catherine Pasquesi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Cain, Shashuna

Tenney, Elex Dyar

O'Donnell, Margaret M

Diez, Sheilagh

Quigley, Christine

Chvatal, Jacinta

O'Scannlain, Jane Fortune

Miller, Kazia Sing Romain

Kress, Laurie Ann

Kluge, Sara Joanna