•   
Contact Us
Temporary ID Card
Español
PacificSource Community Solutions Logo
  • Search Tools
    • Drug Search
      Look up covered drugs
    • Find a Doctor
      Find a doctor in your area
    • Find a Dentist
      Find a dentist in your area
    • Find a Pharmacy
      Find a pharmacy in your area
  • For Members
    • Member Home
      View your member handbook
    • Your Health Benefits
      Learn more about your plan
    • How to renew your coverage
      Update your information
    • Frequent Questions
      Get the answers you need
    • Transportation Services
      Non-Emergent Medical Transport Information
    • Community Advisory Committees
      Learn about the committees
  • For Providers
    • Provider Home
      Go to the Provider home page
    • Pre-approval Grid
      Find out if a procedure or service requires pre-approval
    • Notices and Updates
      View our current and past notices and updates
    • Document Library
      Print documents and forms
  1. Home
  2. Providers
  3. Credentialing Applications
  • Quick Links
    • Pre-approval Grid
    • InTouch for Providers
    • Provider Workshops
    • Contact Us
    • PacificSource LineFinder
  • Resources
    • ICD-10 Information
    • Documents and Forms
    • Healthcare Interpreters FAQ
    • Dental Provider Resources
    • EthicsPoint
    • Inpatient Utilization Review
    • Useful Links
    • CLAS Information

Credentialing Applications

Oregon

  • Practitioner Credentialing Application (OPCA)
  • Practitioner Recredentialing Application (OPRA)
  • Credentialing Attachment A 2012
  • Recredentialing Attachment A 2012
  • Locum Tenens Application (Oregon)
  • Organizational Provider Credentialing Application (Oregon)

About PacificSource

With an 80-year reputation for taking great care of people, we are known for building relationships and making the extra effort to get to know customers one-on-one. As a member of your local community, we’re here to help you get the healthcare you need to live the life you want.

Medicaid Questions?

  • 2965 NE Conners Ave, Bend, OR
  • Toll Free: (800) 431-4135
  • TTY Users: (800) 735-2900
  • Current Hours: 7 days a week, 8 a.m. - 8 p.m.

Search Tools

  • Drug Search
  • Find a Doctor
  • Find a Pharmacy
  • Find a Dentist

Language Help

Language Help

  • Asistencia con el idioma
  • Trợ Giúp Ngôn Ngữ
  • 語言協助
  • Языковая помощь
  • 언어 도움말
  • Мовна Допомога
  • 多言語ヘルプ
  • المساعدة اللغوية
  • Asistenţă lingvistică
  • ជំនួយផ្នែកភាសា
  • Gargaarsa Afaanii
  • Sprachenhilfe
  • خدمات پشتیبانی زبان و ترجمه
  • Assistance avec la langue
  • ภาษาช่วยเหลือ

© PacificSource Health Plans 2019

Privacy Policy | Terms of Use | Compliance Program

Privacy Policy | Terms of Use | Compliance Program