New provider network participating request form
Interested in joining our provider network? Please complete and submit the new provider network participation request form below.
If you have not already reviewed our nominations panel, please do so before submitting the new provider network participation request form.
Check the panel now
| Nominations Panel | |||
|---|---|---|---|
| Oregon county | Open specialties | Closed specialties | |
| Clackamas, Multnomah and Washington | Behavioral health (if not listed as closed), PCP, cardiology, dermatology, OB/GYN, orthopedics, radiology, gastroenterology, oncology, and rheumatology | Acupuncture, chiropractic, massage therapy, ophthalmology, licensed professional counselor, licensed clinical social worker, licensed marriage and family therapist, psychologists, DME and ALL other specialties which are not listed as open | |
| Benton, Lane, Marion, Polk, Jackson and Yamhill | Behavioral health, PCP, cardiology, dermatology, OB/GYN, orthopedics, radiology, gastroenterology, oncology, rheumatology, infectious diseases, midwifery, physiatry/rehab medicine, speech therapy and vascular surgery | Acupuncture, chiropractic, massage therapy, Optometry, ophthalmology, DME and ALL other specialties which are not listed as open | |
| Columbia, Coos, Deschutes, Douglas, Josephine, Klamath, Linn and Umatilla | Behavioral health, PCP, cardiology, dermatology, OB/GYN, orthopedics, radiology, gastroenterology, oncology, rheumatology and ALL other specialty types which are not listed as closed | Chiropractic, occupational therapy, optometry, ophthalmology, orthopedic surgery, otolaryngology and physical therapy | |
| Baker, Clatsop, Crook, Curry, Grant, Gilliam, Harney, Hood River, Jefferson, Lake, Lincoln, Malheur, Morrow, Sherman, Tillamook, Union, Wallowa, Wasco and Wheeler | All specialty types (with the exception of DME providers) | DME | |
*We update this nominations panel annually. We last updated it in July 2018.
New provider network participation request form
We will review your information and contact you within 60 business days of your submission.
You can also submit a print version of this new provider network participation request form.
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Hello.
We have exciting news to share. ODS is changing its name to Moda Health.
Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.
Together, we can be more, be better.
Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
Hello.
Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
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