On the Mayo osteoporosis website someone said they were getting the REMS in Vancouver, Canada. I live in Oregon but my son lives just across the border in WA. so it was a win win to visit him and get a REMS scan. At the time I made the appointment I could not find a REMS scan in Oregon. BUT someone on this site found a REMS scan in Oregon at Osteostrong. I looked it up and Yes i could have got it here but had already made an appointment in Canada and was getting to visit my son. I will get a REMS every 6 month, here in Oregon at Osteostrong where ever the machine is, while I Figure out my plan of attack on Osteoporosis. I don't want to find myself with far worse numbers as a surprise like finding out I had this disease in the first place. I like that i can monitor the progress of the disease myself with out having to wait the 1-2 years to get a DEXA.