| State Application |
|
|
 |
| Questions |
|
Questions about credentialing issues and any interpretation should be directed to the health care related organization where you have applied. Credentialing is not governed by a state agency.
Physician Licensing questions should be directed to the Oregon Medical Board
Medical Doctor (MD)
Doctor of Osteopathy (DO)
Doctor of Podiatric Medicine (DPM)
Acupuncturist (LAc)
Physician Assistant (PA)
Doctor of Chiropractic (DC)
All other professions should contact your professional licensing department. An alphabetical listing of state agency information can be found here.
For questions about technical issues such as credentialing form versions, including formatting issues and software compatibility, please contact Dorothy Allen, 503.373.1985.
|
| MS Word Document |
|
2009 Credentialing Application, mandatory October 1, 2009 - Doc
For best results:
Please download the file to your computer.
From the menu bar, select: Tools, Macro, Security, Medium
Additional downloading tips
|
| Adobe PDF Form Document |
|
2009 Credentialing Application, mandatory October 1, 2009 - PDF (updated 1/12/2010)
|
|
|
|
