Individual ProviderJaxyn Roux BrownSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3550 N Interstate Ave, Portland, OR 97227-1196(503) 249-6748(503) 985-8759PECOS EnrollmentBased on the most recent information from CMS, provider Jaxyn Roux Brown 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 yesterday at 12:57 PM.Profile DetailsProvider ID1649862582Provider TypeIndividualFull NameRoux Brown, JaxynGenderFemaleSole ProprietorNoEnumeration Date2/10/2021Last Updated7/29/2022Contact InformationPractice LocationPractice Address3550 N Interstate Ave, Portland, OR 97227-1196Phone(503) 249-6748FaxUnlisted FaxMailing LocationMailing Address3550 N Interstate Ave, Portland, OR 97227-1196Phone(503) 985-8759FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer