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Rural Health Clinic Programs
Complete the following RHC enrollment forms: OHP 3104, OHA 3972, OHA 3974, and OHA 3975. Available at: OHP Provider Enrollment. Include: The clinics RHC
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Instructions for Obtaining an OHP Single Case Agreement
you listed on the Provider Enrollment Request (OHA 3972). If you have any questions, contact Care Oregon at 503-416-4100. THEY ANSWER THE PHONE and are
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OHP Forms and Publications : Oregon Health Plan
Find the OHA 3975, 3972, 3974 and other provider enrollment forms by Go to the ODHS|OHA Forms Search Page for other ODHS|OHA forms, and to find versions
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