Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Oregon POLST Registry. Before sending anything sensitive, confirm the number and receiving department directly with Oregon POLST Registry, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
This appears to be a healthcare destination. Faxes here may contain protected health information (PHI), and a misdirected medical fax can be a reportable privacy breach. Confirm the current number and department with the provider — and send a test page — before transmitting any records.
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Oregon POLST Registry fax number
(503) 418-2161
Wrong or outdated? Report this number
Oregon POLST Registry (Registry Office, supported by OHSU Center for Ethics and Oregon Health Authority)
Used for: Submitting POLST forms (front and back) to the Oregon POLST Registry via fax or mail.
Fax destination details
- Department
- Oregon POLST Registry (Registry Office, supported by OHSU Center for Ethics and Oregon Health Authority)
- Purpose
- Submitting POLST forms (front and back) to the Oregon POLST Registry via fax or mail.
- Form
- POLST form — Oregon POLST Form
- Address
- 3181 SW Sam Jackson Park Rd, Portland, OR 97239
- Voice phone
- 503-418-4083
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fax or mail POLST forms (front and back) to the Registry. Include patient’s full name, date of birth, physician/NP/PA/ND signature, date signed, and at least one completed order section. If faxing, include a cover sheet; Registry IDs may be returned on request.
Review official form instructionsSources and verification
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