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Non-Payable Provider Enrollment Form OHP 3113 (5/16) Page 2 of 3 . Taxonomy code* Attach a separate sheet . if more space is needed: Primary*: Description:.

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The fastest way to apply is online. You can also fill out a paper application or call us at 1-800-699-9075 to get assistance in filling out the application in a different way.

Oregon Health Plan Email: You can send a secure email with your changes to Oregon.Benefits@dhsoha.state.or.us. Include your full name, date of birth, Oregon Health ID number, and phone number. Call: 1-800-699-9075 (toll-free) from 8 a.m.to 5 pm. Monday to Friday.

Every day, CareOregon helps more than 500,000 Oregonians access free physical, dental, mental health care and prescription drug coverage through the Oregon Health Plan (OHP). Enter our Members section to find out if you're eligible, search for providers, learn about CareOregon benefits, and more.

If in doubt, contact Provider Services at 800-336-6016 for assistance, or refer to your provider guidelines.

If you don't know if you still have OHP, you can view your dashboard at ONE.Oregon.gov (look under "Current Benefits"). You can also call ONE Customer Service at 800-699-9075.

To get an NPI, apply online at the National Plan and Provider Enumeration System (NPPES) website. To look up your NPI information, use the NPI Registry.

Call Oregon Eligibility (ONE) Customer Service at 800-699-9075 (TTY 711) if you: Have questions about eligibility. Become pregnant or your pregnancy ends. Need help using the ONE system.

If you have questions about your OHP benefits, welcome packet or ID cards, please contact the Client Services Unit at 1-800-273-0557. If you have questions about eligibility, applications or related issues, please contact OHP Customer Service at 1-800-699-9075.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232