Individual ProviderMary RexSocial WorkerBehavioral Health & Social Service ProvidersPractice Address16110 SW Regatta Lane, Beaverton, OR 97006-8942(503) 645-7306PECOS EnrollmentBased on the most recent information from CMS, provider Mary Rex is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1235113622Provider TypeIndividualFull NameRex, MaryTitleMs.CredentialMSW LCSWGenderFemaleEnumeration Date11/30/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address16110 SW Regatta Lane, Beaverton, OR 97006-8942Phone(503) 645-7306Fax(503) 617-9379Mailing LocationMailing Address16110 SW Regatta Lane, Beaverton, OR 97006-8942Phone(503) 645-7306Fax(503) 617-9379Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0516Oregon