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HEALTH LICENSING OFFICE 1430 Tandem Ave. NE Suite 180 Salem OR 97301-2192 Phone 503-378-8667 Fax 503-370-9004 www. Healthoregon.org/hlo to report those changes. Your full legal name is your first name middle name s and last or surname without use of initials or nicknames. Healthoregon.org/hlo Email hlo. info state. or. us Print Information AUTHORIZATION HOLDER NAME CHANGE INFORMATION Pursuant to Oregon Administrative Rule OAR 331-010-0040 and 824-010-0040 2 j any change to an authorization...
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To fill out HLO Oregon, follow these steps:
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Visit the HLO Oregon website.
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Click on the 'Application Forms' section.
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Choose the specific form that is applicable to your situation.
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Download and open the form in a PDF reader.
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Fill out the form by providing all the requested information.
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Once the form is completely filled out and all necessary documents are attached, save the file.
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Submit the form either through online submission or by mailing it to the provided address.
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HLO Oregon stands for Health Licensing Office Oregon. It is the state agency responsible for regulating and licensing various healthcare professionals in Oregon.
Healthcare professionals who are licensed or regulated by the Health Licensing Office in Oregon are required to file HLO Oregon.
To fill out HLO Oregon, healthcare professionals should visit the official website of the Health Licensing Office Oregon and follow the instructions provided for their specific licensing or registration requirements.
The purpose of HLO Oregon is to ensure that healthcare professionals in Oregon meet the necessary standards of competence and ethics to practice safely and effectively.
The specific information that must be reported on HLO Oregon will vary depending on the type of healthcare professional and their licensing or registration requirements.
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