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Healthoregon.org/hlo Email hlo. info state. or. us Print Form DIRECT ENTRY MIDWIFERY PRACTITIONER LICENSE APPLICATION 1. State Lic./Cert. /Reg. Expiration Complete This Section Only If Submitting Payment By Mail Method Of Payment For Application Fee 150 License Fee 800 - Note As of July 1 2015 an applicant applying for an original license totaling 800 may be granted a 350 license fee discount for a total cost for the license 450 until July 1 2019. An application fee of 150 must be paid in...
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The board of direct entry is a form that must be filed by certain individuals or entities with specific information about their directors.
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