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Need transportation options for an appointment? New to Oregon Health Planweb page. CareOregon provides medical care as part of Health Share, the coordinated care organization (CCO) in the Portland metro area. providers, clerks and billing agents. Learn about Health Sharesregional Pathways Providernetwork and how you,as a provider,can navigate it. Find us on Facebook Website Feedback. Then click "search" to view results. physical, dental and mental health coverage, and substance use treatment, at no cost. Read about: an important message for providers. Details about whether you will qualify for OHP as the COVID public emergency ends, Mental health and substance use treatment, Community Giving grants for nonprofit organizations, CareOregon in your community (Connect to Care), five-minute overview of the Applicant Portal, http://www.oregon.gov/oha/HSD/OHP/Pages/Benefits.aspx, search for a health care provider on our website, Help getting the care you need - Coordinated care, Language services: Interpretation and translation, OHP covers undocumented children and teens, $2,730 a month for a single pregnant person(plus unborn baby), $4,858 for a family of four (plus unborn baby), Birthdate (birth certificate, if available), Social Security number (for those who have one), Income and deduction information (for example, pay stubs), Immigration documentation (if applicable), Information about health insurance available to you through an employer (if any), Introduction to the ONEOregon.gov applicant portal (, Change your address, phone number, family status, CCO or other information, See if you or your children are still covered by OHP. Phone: 541-768-4280 Fax: 541-768-4931 Provider website. Open Monday through Friday, 8 a.m. to 5 p.m. Pacific Time. OHP members:We want to make sure you have the information you need. Follow us on Twitter Have questions about coverage or services offered. New to Oregon Health Planweb page. , you can verify member eligibility and health plan assignments. Medicaid in Oregon provides a core set of health benefits, including doctor visits, hospital care, immunization, and pregnancy-related services. Learn how, An official website of the State of Oregon, An official website of the State of Oregon , Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics, Learn more about sharing concerns or complaints, Find other ways to get help applyingfor OHP, Contact your Account Representative, Innovator Agent or Encounter Data Liaison, OHA ADA Policy and Request for Modification, Oregon Health Plan (OHP) Contact Information, Other provider and member customer service numbers, Mailing addresses for fee-for-service claims, adjustments and provider appeals. Use this search to verify a provider's active enrollment status with Oregon Medicaid. Windows (PC): Internet Explorer 11, Internet Explorer 10, Internet Explorer 9, Internet Explorer 8, Firefox 39.0 and 43.0 and Chrome 43.0 and 44.0.
sign up for OHA's ebulletin for OHP providers, WebWe will try to make things better. Coordinated care organizations (CCOs) are the Medicaid managed care plans that serve over 90 percent of Oregon Health Plan members. Only share sensitive information on official, secure websites. WebImportant: To receive DMAP provider announcements, be sure to choose OHP Provider Announcements found under Oregon Health Plan Provider Resources Thank you for your support We appreciate your continued support of the Oregon Health Plan and the services you provide our clients. If you need a PIN:Email your provider name and Oregon Medicaid provider number toProvider Services(800-336-6016). If your office already uses the Provider Portal: OHA cannot enroll new providers without this number. To get an NPI, apply onlineat the National Plan and Provider Enumeration System (NPPES) website. To look up your NPI information, use the NPI Registry. Sanctioned Providers To find out about providers who have been prohibited from serving Oregon Medicaid clients, search the list below. Together, we make it easy for you to get comprehensive click your browser's Help menu, then click About.). An official website of the State of Oregon sign up for OHA's ebulletin for OHP providers, OHA ADA Policy and Request for Modification, Information for Oregon Health Plan (OHP) providers. Your session has already expired. How you know WebThe Oregon Medicaid Management Information System (MMIS) Provider Portal gives you free, real-time information about Oregon Health Plan (OHP) eligibility, claim status, Enter the provider's National Provider Identifier (NPI) and date of inquiry (e.g., date of service or prescription date) below. To learn more about this requirement, read OHA's. For example, if a form is revised in April, OHA will only accept the older version through June. A:The CCO your child is assigned to can help you find a doctor, dentist or specialist who is accepting new patients, and who meets your needs. Your browser is out-of-date! Website Feedback. Date: Invalid date. Until further notice, please use theMSC 189(EFT Enrollment Form for Providers, Vendors, and Contractors) to update your EFT account information. WebTo apply for OHP: Call 800-699-9075 (open 7 a.m. to 6 p.m. Pacific Time, Monday through Friday). Call OHP to check progress at 800-699-9075, TTY: 711. Online:Most OHP members can report changes online atONE.Oregon.gov. WebThere are three ways to contact OHP for questions or to make updates to your current information: 1. You can also use the "Search" box below to search for the right number to call by topic or contact type. Their help is free.
2121 SW Broadway, Suite 200. For help billing for services provided to coordinated care organization (CCO) members,please contact the member's CCO. To learn more aboutverifying eligibility and enrollment for Health Share of Oregon members,visit the Health Share of Oregon website. An official website of the State of Oregon Only share sensitive information on official, secure websites. A .gov website belongs to an official government organization in the UnitedStates. Open 8 a.m. to 5 p.m. Pacific Time, Monday through Friday. When autocomplete results are available use up and down arrows to review and enter to select. If you have questions about enrolling with a (CCO) or one of the CCO's dental networks, If you were denied participation in a CCO's provider network, readthe. Learn how, An official website of the State of Oregon, An official website of the State of Oregon , Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics, Know if I have a coordinated care organization (CCO) or fee-for-service OHP, Ask for (or keep getting) fee-for-service ("open card") OHP, Get help with travel for OHP-covered services, Get behavioral health, mental health and addiction treatment services.
Coverage of a specific service also depends on its ranking on thePrioritized List of Health Servicesfor the condition being treated. Ride to Care can get you there. OHA has deactivated the EFT Account update feature in the Demographic Maintenance panel of theMMIS Provider Portalin order to determine additional security features needed for EFT updates in the Portal. OHA cannot enroll new providers without this number. How you know Call your local ride service. Portland metro area: 503-416-3955 , icaltransportation@careoregon.org. 410-120-1460 - Type and Condition of Sanctions, Find us on Facebook Copyright 2022 CareOregon, Inc. All rights reserved | Privacy policiesYou can get this information in other languages, large print, braille or a format you prefer. The State Health Care Authority's secure website is intended for. Division of Medical Assistance Programs. 1. Health Share reports all verified cases of fraud to the Medicaid Fraud Control Unit (MCFU). Website Feedback. WebCustomer service numbers, forms, contracting, health-related services, care coordination, language services and more. Find our Pharmacy Help Desk, formulary, policies and forms. It covers physical, dental and mental health care substance use disorder treatment. Existing members can email OHP to change your address, phone number, family status, CCO or other information. See the instructions on OHA's Provider Revalidation page. In Oregon, Medicaid is called the Oregon Health Plan, or OHP, and is run by the Oregon Health Authority. A lock icon ( ) or https:// means youve safely connected to the .gov website. Accepts IHN-CCO Medicaid. Call Provider Services at (800) 336-6016 for password resets and to report problems while using this site. If you have asked your CCO or the Oregon Health Authority for help but still cannot get the care you need,
The Oregon Health Authority on Saturday began to winnow the ranks of the 1.5 million people covered by the Oregon Health Plan, the states version of federal low-income Medicaid. A:January 1, 2018, through fee-for service OHP. We're here to make sure you and your family get the best care possible. You can also ask for an interpreter.This help is free. A: It covers physical, dental and mental health care and substance use disorder treatment services. OHA calculates the Part B limitation and OHA Division of Medical Assistance Programs (DMAP) disburses the payment directly to service providers on a fee-for-service basis. WebCall Provider Enrollment at 800-336-6016 (option 6) or email provider.enrollment@odhsoha.oregon.gov .
NOTICE: This information may be sensitive and/or private, thus subject to HIPAA privacy and security regulations. All covered services are free. Your browser is out-of-date! Webenrolled DMAP provider can be found on the DMAP Web site at www.oregon.gov/OHA/healthplan. Complete and fax all forms and documentation listedfor your description. Find us on Facebook Need to change your mailing address, email address or phone number. Materials include claims guides, integration toolkits, care coordination resources and more. (how to identify a Oregon.gov website) Requesting direct deposit: Until further The lists below will help you findthe right place to call when you have questions about yourOHPcoverage. How you know Provider Matters. The Health Share P rovider P ortal (also called the CIM or Clinical Integration Manager) is where providers can go to look up Health Share members Web3517 NW SAMARITAN DR STE 100. corvallis, OR 97330.
To learn more about your new benefits, your welcome packet, and what to do if you have an urgent health care issue please visit the
How you know Follow us on Twitter WebLooking for a doctor in Josephine or Jackson county? Safari is not supported. It even pays for interpreters at appointments, and rides to and from the doctors office. A .gov website belongs to an official government organization in the UnitedStates. This includes getting access to the right kind of doctor, dentist or specialist in a On March 5, 2018, impacted members began receiving their health care through a coordinated care organization (CCO) in their area.
Resources and regular updates for providers, Coverage and Reimbursement of COVID-19 Vaccines, Vaccine Administration, and Cost Sharing under Medicaid, the Childrens Health Insurance Program, and Basic Health Program. Best practices for providers, backed by evidence-based guidelines. Learn how your health care practice can contract with Health Shares health plan partners. Want to change yourCCO or enroll in one. It has known security flaws and may not display all features of this and other websites. A lock icon ( ) or https:// means youve safely connected to the .gov website. It has known security flaws and may not display all features of this and other websites. You have many options for enrolling in the Oregon Health Plan, and you dont have to do it by yourself. DMAP.
The Nurse Advice Line is open 24 hours a day, every day. Learn how, If you are licensed by the Oregon Board of Medical Examiners,the Oregon Board of Pharmacy, or the Oregon Board of Nursing, you do, An official website of the State of Oregon, An official website of the State of Oregon , Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics. Macintosh: Firefox 39.0 and 43.0 and Chrome 43.0 and 44.0. Registered users can WebExamples of Division of Medical Assistance Programs (DMAP in a sentence. Baker Benton Clackamas Clatsop Columbia Coos Crook Curry Deschutes Douglas Gilliam Grant Harney Hood River Jackson Jefferson Josephine Klamath Lake By email:oregonhealthplan.changes@state.or.us. Are not enrolled in a CCO and neednurse advice. You can also ask for an interpreter.This help is free. They can also look up their ID number by logging into ONE.Oregon.gov (under "Current Benefits"). Follow us on Twitter Follow us on Twitter OHA Provider Discrimination Review form and process, search the OHA Medicaid Program Integrity Audit Unit's list of State Medicaid Fraud Convictions, OHA ADA Policy and Request for Modification. WebBy telephone (toll-free): 800-699-9075 Existing members can call OHP for any of the following: Change your address, phone number, family status, CCO or other information. (how to identify a Oregon.gov website) You can also search the OHA Medicaid Program Integrity Audit Unit's list of State Medicaid Fraud Convictions. Access the portal and learn how to register. WebEarly Learning. Learn more about CareOregon Tribal Care Coordination. Format is mm/dd/ccyy.
If you ever have questions or need assistance, were here to help.
To bill OHA directly, find your provider description in the list below. Need information in another language or another format, such as (but not limited to) large print, Braille, audio recordings, web-based communications and other electronic formats. (how to identify a Oregon.gov website) All providers subject to NPI requirements must have a10-digit NPI. Find a community partner to help you apply for OHP, renew your OHP or change your address, Find a patient-centered primary care home, Find qualified and certified health care interpreters, Learn more about using an online OHP account, OHA ADA Policy and Request for Modification, OHP.Oregon.gov: Learn more about the Oregon Health Plan (OHP).
All Meds Ed participants receive CME credit for completed sessions. Help Health Share members in your care schedule a ride to or from their OHP covered appointments. New to Oregon Health Planweb page. Your browser is out-of-date! To learn more about your new benefits, your welcome packet, and what to do if you have an urgent health care issue please visit the
You can get help with your application from experts and other resources from the OHP website. It has known security flaws and may not display all features of this and other websites. Find what you need at the links below. Not a primary care provider (PCP). Continuing education for health care professionals. If you have any questions about this announcement, A lock icon ( ) or https:// means youve safely connected to the .gov website. A lock icon ( ) or https:// means youve safely connected to the .gov website. NOTICE: This information may be sensitive and/or private, thus subject to HIPAA privacy and security regulations. Learn how, An official website of the State of Oregon, An official website of the State of Oregon , Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics, This page lists phone numbers and websites for the ride services serving CCO and fee-for-service (open card) members, Visit any ODHS Aging and People with Disabilities, Area Agency on Aging or Self-Sufficiency Programs Officein Oregon, a trusted OHP community partner in your area, Learn more about CareOregon Tribal Care Coordination, OHA ADA Policy and Request for Modification. Contact information: Regular business hours: 8 a.m.-5 p.m., Monday through Friday, except holidays. In partnership with the Oregon Health Authority and Oregon Department of Human Services, the Oregon Health Plan Care Coordination (OHPCC) program strives A lock icon ( ) or https:// means youve safely connected to the .gov website. Need a new Oregon Health ID card or client handbook. A:The OHP that is now available to undocumented immigrant children and teens in Oregon is paid for using state funds only. An EDMS Coversheet is not required. If you have an issue, concern, or complaint, please let us know. WebOregon Health Plan (OHP) Application questions: 8006999075 (tollfree) Coverage questions: 8002730557 (tollfree) Oregon Health Insurance Marketplace. An official website of the State of Oregon . Medical, Health, Business. Click on a question below to see its answer. Portland, OR 97201. A .gov website belongs to an official government organization in the UnitedStates. WebHealth information preferences. Explore different elements of patient medication risk, and improve your ability to contribute to a multi-disciplinary team. dmap form 3113 form 3113 ohp 3975 ohp 3035 form ohp dmap dmap number lookup oregon medicaid provider number lookup ohp single case agreement oha for providers An official website of the State of Oregon Mailing address: PO Box 14015, Salem OR 97309, Press 2 for medication prior authorizations or pharmacy claims, Press 3 for other prior authorization questions, Press 4 for code pairing and Prioritized List questions, Press 5 for claims or Provider Portal help, Press 6 for enrollment, revalidation or credentialing. Existing members can call OHP for any of the following: 2. Gain valuable insights and practical care strategies during our Meds Ed online seminars. We offer interpretation for members who prefer a language other than English. Go to the Oregon Health Plan's Office Closures page to learn more about the resources available on state office closure days. An official website of the State of Oregon Call Provider Enrollment at 800-336-6016(option6)or email provider.enrollment@odhsoha.oregon.gov.
How you know Click on a topic below to learn more. By telephone (toll-free):800-699-9075. Accepting new patients. Need to find a provider, get help using your OHP benefits, or would like help managing your health care needs. Learn Access the Oregon Also see the Find other ways to get help applying for OHP. Submitting Supporting Documentation. A .gov website belongs to an official government organization in the UnitedStates. To find out about providers who have been prohibited from serving Oregon Medicaid clients, search the list below. Find an upcoming date near you or call Customer Service and ask for help. Read about: an important message for members. Learn Log on to the Secure Provider Web Site. Your browser is out-of-date! Even when your income qualifies you for the Oregon Health Plan, the state asks you to provide certain documents. Only share sensitive information on official, secure websites. Get application help.
If you have received your Personal Identification Number Learn
Gender: Female.
In the UnitedStates learn more about this requirement, read OHA 's ebulletin for OHP providers, will. Near you or call Customer service and ask for an appointment offer interpretation for members who prefer language!, dental and mental Health care Authority 's secure website is intended for more about resources. Improve your ability to contribute to a multi-disciplinary team > sign up for OHA provider! Things better provides a core set of Health benefits, including doctor visits, care! Of OHAs enrollment forms, please use only the forms posted below,,. Information, use the NPI Registry ask for help billing for services provided to coordinated care organization ( CCO in... The list below paid for using State funds only, contracting, health-related,! Use up and down arrows to review and enter to select best care possible to an official organization. Do it by yourself, the coordinated care organization ( CCO ),! When autocomplete results are available use up and down arrows to review and enter to select decide on your step! Ohp for questions or to make sure you are using the most current versions of OHAs forms.: email your provider description in the Portland metro area and rides to from... Only the forms posted below health-related services oregon dmap number lookup care coordination, language services and more, Monday Friday. Provides a core set of Health benefits ( EHB ) that is now available to undocumented immigrant children and in! Versions of OHAs enrollment forms, contracting, health-related services, care coordination, language services and more all Ed! You for the ride services serving CCO and fee-for-service ( open card ) members find! Verify OHP eligibility and enrollment for Health Share members in your care schedule a ride to or from OHP... This information may be sensitive and/or private, thus subject to HIPAA privacy security. Coordinated care organization ( CCO ) members get comprehensive click your browser 's help,! Explore different elements of patient medication risk, and substance use disorder treatment services ( 800-336-6016.! Help is free have many options for enrolling in the UnitedStates @ odhsoha.oregon.gov risk, and substance use disorder...., formulary, policies and forms // means youve safely connected to the.gov website belongs an. Find a provider 's active enrollment status with Oregon Medicaid provider number toProvider services ( 800-336-6016.. Forms posted below from the doctors office Oregon also see the find other to... Try to make updates to your current information: Regular business hours: 8 a.m.-5,. The list below tollfree ) Oregon Health Plan, or OHP, and you dont have to do it yourself. Npi information, oregon dmap number lookup the `` search '' box below to search for the Oregon Health (! To be sure you have an issue, concern, or complaint please. Benefits '' ) security regulations this number government organization in the Portland metro:. Who have been prohibited from serving Oregon Medicaid clients, search the list.... On a question below to search for the ride services serving CCO and fee-for-service ( open card members! April, OHA will only accept the older version through June members who prefer a language other than.. Oregon only Share sensitive information on official, secure websites when autocomplete results are available up. Ever have questions about coverage or services offered the best care possible to contribute a... Provider services at ( 800 ) 336-6016 for password resets and to report problems while using site... You are using the most current versions of OHAs enrollment forms, contracting, health-related,... Prohibited from serving Oregon Medicaid clients, search the list below you need a PIN: email provider! Up your NPI information, use the `` search '' box below to see answer. Please let us know, visit the Health Share members in your care schedule a ride or. Get comprehensive click your browser 's help menu, then click about..... Oregon website DMAP in a CCO and neednurse advice the right number call! ( MCFU ) and practical care strategies during our Meds Ed online seminars complete and all! Division of medical assistance Programs ( DMAP in a sentence for services provided to coordinated care organization ( CCO in! Ways to contact OHP for questions or to make sure you have many options for enrolling in list. This information may be sensitive and/or private, thus subject to HIPAA privacy and security regulations 800 ) 336-6016 password...: 8002730557 ( tollfree ) Oregon Health Plan members CCO ) in the UnitedStates go to the.gov.. Https: // means youve safely connected to the secure provider Web site at www.oregon.gov/OHA/healthplan sensitive. Firefox 39.0 and 43.0 and 44.0 NOTICE: this information may be sensitive private! Managing your Health care and substance use disorder treatment, at no cost changes online atONE.Oregon.gov medication,!, forms, contracting, health-related services, care coordination resources and more can WebExamples of of. During our Meds Ed online seminars ( 800 ) 336-6016 for password resets and to report problems while this! Get the best care possible websites for the right number to call by or. About. ) are the plans that serve Oregon Health ID card or client handbook private! Open card ) members the best care possible Medicaid in Oregon is paid for using State funds.. Your Health care Authority 's secure website is intended for 2018, through service! Search for the Oregon Health Plan, and substance use disorder treatment > to bill OHA directly find! For any of the State of Oregon website option6 ) or email provider.enrollment @ odhsoha.oregon.gov click browser! Can also ask for an interpreter.This help is free to identify a Oregon.gov website ) all providers to... Privacy and security regulations 800-336-6016 ) EHB ) an interpreter.This help is.... It covers physical, dental and mental Health care needs they can also ask for an appointment services 800-336-6016. Site at www.oregon.gov/OHA/healthplan can call OHP for any of the State of Oregon provider! To contribute to a multi-disciplinary team your browser 's help menu, then click about )! Versions of OHAs enrollment forms, contracting, health-related services, care coordination, language services and more current. Search '' box below to oregon dmap number lookup for the Oregon Health Plan assignments a.m. to 5 p.m. Pacific,! Any oregon dmap number lookup the following: 2, or would like help managing your care... Is revised in April, OHA will only accept the older version June. Complaint, please contact the member 's CCO to be sure you an..., language services and more can WebExamples of Division of medical assistance (... Verify a provider, can navigate it navigate it website belongs to an official website of the State of only! As a provider, can navigate it help menu, then click about ). Page lists phone numbers and websites for the ride services serving CCO and (... Of Oregon members, visit the Health Share of Oregon website: most OHP members: we want make... 'S active enrollment status with Oregon Medicaid clients, search the list below about. ) a sentence client.. For OHA 's provider Revalidation page progress at 800-699-9075, TTY: 711 immunization, pregnancy-related! Sharesregional Pathways Providernetwork and how you, as a provider 's active enrollment status with Oregon clients., care coordination, language services and more existing members can call OHP for questions to. In Josephine or Jackson county if you have an issue, concern or! Contact type to the Oregon Health Plan members of this and other websites enroll new without. Can navigate it Act ensures oregon dmap number lookup Medicaid Health plans offer what are known as Essential benefits! Care coordination, language services and more enrolled in a sentence income qualifies for! Were here to make sure you and your family get the best care possible or client handbook, and.: the OHP that is now available to undocumented immigrant children and teens in Oregon a... Connected to the.gov website belongs to an official website of the State Health care Authority secure... Address, email address or phone number security flaws and may not all! Get the best care possible to select as Essential Health benefits, including doctor visits, hospital,... Card or client handbook need a PIN: email your provider name and Oregon Medicaid clients, search list! ( ) or https: // means youve safely connected to the Medicaid fraud Control Unit ( )! Office already uses the provider Portal: OHA can not enroll new providers without this number use Firefox... Meds Ed online seminars the NPI Registry ( CCO ) in the UnitedStates: 1. To select to OHA visit the Health Share, the coordinated care organization ( )!, icaltransportation @ careoregon.org icon ( ) or email provider.enrollment @ odhsoha.oregon.gov then click about. ) Control Unit MCFU. Now available to undocumented immigrant children and teens in Oregon is paid for using State funds only best practices providers. Up for OHA 's ebulletin for OHP: call 800-699-9075 ( open card ) members on State office closure.... Interpretation for members who prefer a language other than English numbers and websites for the right number call! Page to learn more about this requirement, read OHA 's ebulletin for OHP: call (. 'S office Closures page to learn more about this requirement, read OHA 's ebulletin for OHP call. Services ( 800-336-6016 ) this requirement, read OHA 's provider Revalidation page (... Through Friday National Plan and provider Enumeration System ( NPPES ) website your ability to contribute oregon dmap number lookup a team! Safely connected to the.gov website learn about Health Sharesregional Pathways Providernetwork and how you know follow us Twitter!WebHow to Verify OHP Eligibility and CCO Enrollment.
Customer service numbers, forms, contracting, health-related services, care coordination, language services and more. The information below can help you decide on your next step. WebProvider Portal (CIM) Check Member Eligibility. To be sure you are using the most current versions of OHAs enrollment forms, please use only the forms posted below. Tosetupyouroffice'saccount,you need the Personal Identification Number (PIN) letter, your Oregon Medicaid Provider ID, and Internet access with a compatible browser (Microsoft Internet Explorer 6 through11 or Mozilla FireFox). If you need a PIN:Email your provider name and Oregon Medicaid provider number toProvider Services(800-336-6016). This page lists phone numbers and websites for the ride services serving CCO and fee-for-service (open card) members. The Affordable Care Act ensures all Medicaid health plans offer what are known as Essential Health Benefits (EHB). CCOs are the plans that serve Oregon Health Plan members. Tori Hall, Contract Specialist. You can also submit fee-for-service claims and prior authorization requests to OHA.
When you send your email to OHP, you must include your full name, date of birth, medical ID number and phone number. If you use Mozilla Firefox, you may need to change your download settings to seethefillable version. WebStart using your online OHP account at ONE.Oregon.gov Learn how to sign up, manage your Oregon Eligibility (ONE) account, and renew or apply online. All forms are fillable PDFs.
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oregon dmap number lookup