New Provider
If you are interested in becoming a provider in our MCO, please complete the provider application and return it to:
By Mail:
Oregon Health Systems, Inc.
Attn: Provider Relations
P.O. Box 3810
Tualatin, OR 97062-3810
By Fax:
(503) 601-8438
By Email:
ProviderRelations@ohs-inc.com
Application for Membership - Provider
Application for Membership - Facility
Application for Membership - Clinic
Application for Membership - PT Clinic
Application for Membership Hospital
If you are interested in becoming a provider for one of our member networks (Majoris Health Systems in Texas) or (Montana Health Systems in Montana), please be sure to download the application on the member websites listed on the left hand side of this page.