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Oregon practitioner credentialing application

Oregon practitioner credentialing application 2025

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4.9 out of 5

201 votes

The document is the Oregon Practitioner Credentialing Application, established by House Bill 2144 in 1999. It outlines the process for practitioners to apply for credentialing and recredentialing with hospitals and health plans in Oregon. The application includes sections for personal information, professional history, education, certifications, practice details, peer references, and attestation questions regarding the practitioner's qualifications and any legal issues. It emphasizes the importance of providing accurate information and includes a release of information consent.

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Click ‘Get Form’ to open the Oregon Practitioner Credentialing Application in our editor.
Begin by filling out your personal information in the 'Practitioner Information' section. Ensure you provide your full legal name, contact details, and any other names used.
Proceed to the 'Specialty Information' section. Indicate your principal clinical specialty and whether you wish to be designated as a primary care practitioner.
In the 'Practice Information' section, enter details about your current practice location, including addresses and contact numbers. If applicable, list secondary practices.
Complete the 'Professional Practice/Work History' section chronologically, detailing all relevant work experiences since medical school.
Review the 'Attestation Questions' carefully. Answer each question truthfully and ensure you sign and date where required.
Finally, attach any necessary documents as specified in the application instructions before submitting it through our platform.

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Versions	Form popularity	Fillable & printable
2012	4.9 Satisfied (201 Votes)
2009	4.4 Satisfied (52 Votes)

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How long is the credentialing process?

~2 months for CA Providers.

What is practitioner credentialing?

Credentialing is a formal process that utilizes an established series of guidelines to ensure that patients receive the highest level of care from healthcare professionals who have undergone the most stringent scrutiny regarding their ability to practice medicine.

How long does each credentialing application take?

The general timeframe for healthcare providers to complete credentialing is between 90 to 120 days. However, this is an average estimate. Some payors may complete the process quicker, while others might take longer, especially for certain specialties.

Why does provider credentialing take so long?

The credentialing process for hospitals and health systems prioritizes in-depth research and meticulous accuracy, which means that it is not a speedy process, often taking from 90 to 120 days to complete. However, verifying a providers credentials is essential.

What is a credentialing form?

- A credentialing process is utilized by health care facilities as part of its process to allow practitioners to. provide services on its campus, health plans to allow providers to participate in its network (provider enrollment), and other health care entities that have a need to hire or otherwise engage providers.