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2012 oregon practitioner recredentialing application form

2012 oregon practitioner recredentialing application form-2025

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The document is the Oregon Practitioner Recredentialing Application, established by House Bill 2144 in 1999, which outlines the process for practitioners to apply for credentialing and recredentialing with hospitals and health plans in Oregon. It includes detailed instructions for completing the application, required documentation, and sections for personal information, professional history, certifications, practice details, peer references, and attestation questions regarding professional conduct and liability. The application aims to ensure that practitioners meet the necessary qualifications and standards for medical practice.

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