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How to become an Oregon Health Plan provider You must enroll with the DHS Office of Medical Assistance Programs. To do this, fill out the proper enrollment form and submit it to DHS at the address below.You'll find the forms on the OMAP Forms page. Scroll down to the "3100 Series" forms. Download a copy of the form for your provider type. Then print the form, fill it out completely, and submit it to: OMAP Provider Enrollment 500 Summer St. NE, E-44 Salem OR 97301-1079 OMAP does not accept faxed applications. You must mail the signed original to OMAP. If you have questions, call Provider Enrollment at (1-800) 422-5047. If you need to update the information on your Provider Enrollment form, use the Provider Information Update, OMAP 3035 (PDF). |
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