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License Renewal* License # Name/Address Change * Fee Payment Required (See back of this form for amount) Facility Information Facility Legal Name: Facility DBA Name (if applicable): Facility Physical Address, City, State & ZIP: Phone: Fax: Facility Mailing Address (if different from above): County: Facility Email: Fiscal Year Ending Date (MM/DD) : Name of Administrator & Phone : Administrator Email: Emergency Contact Person & Phone: Days and Hours of Routine Operation: Owner Information (If.

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Do I qualify? Maximum Monthly Income by Applicant Type and Family Size Family sizeAdults (19-64) OHP Plus OHP Bridge 1 $1,732 $2,510 2 $2,351 $3,4074 more rows

Medical Schools in Oregon: Oregon Health and Science University – School of Medicine (OHSU) and Western University of Health Science – College of Osteopathic Medicine of the Pacific Northwest (COMPNW).

We are Health Share Health Share of Oregon serves Oregon Health Plan members in Clackamas, Multnomah, and Washington counties. We bring together health plans, providers, and community health resources so our members can access the care they need to be well. The Oregon Health Plan (OHP) is our state's Medicaid program.

The Oregon Health Authority is at the forefront of lowering and containing costs, improving quality and increasing access to health care in order to improve the lifelong health of people in Oregon.

The Medically Needy program is a federally matched optional Medicaid program. In Oregon, this program mainly provided prescription drug benefits.

The Qualified Medicare Beneficiaries program (QMB) is a Medicaid program administered by the Oregon Department of Human Services. QMB helps people with Medicare pay for their medical care.

—Naomi Adeline-Biggs, MBBS, MPH, Polk County's public health administrator since 2022, has been appointed permanent director of Oregon Health Authority's (OHA) Public Health Division, effective Aug. 19. As Polk County Public Health administrator, Dr. Adeline-Biggs has overseen 25 programs.

The Oregon Health Plan (OHP) is free health coverage from the State of Oregon. People who meet income and other requirements can get the Oregon Health Plan. OHP covers medical, dental, and mental health care. It also covers help with addictions.

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© Copyright 1997-2025
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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