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PRINTED: 01/11/2021 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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May 5 Administrator Oregon is a form required by the State of Oregon for certain entities to report detailed information about their administrators.
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Entities that have administrators in Oregon are required to file the May 5 Administrator form.
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The purpose of the May 5 Administrator form is to ensure transparency and accountability by requiring entities to disclose information about their administrators.
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The May 5 Administrator form requires entities to report details about their administrators, including their names, addresses, and roles within the entity.
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