Individual
MS. MARY REX
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
16110 SW REGATTA LANE, BEAVERTON, OR 97006-8942
(503) 645-7306
(503) 617-9379
Mailing address
16110 SW REGATTA LANE, BEAVERTON, OR 97006-8942
(503) 645-7306
(503) 617-9379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0516
OR
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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