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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Providence Health & Services (Oregon Region). Before sending anything sensitive, confirm the number and receiving department directly with Providence Health & Services (Oregon Region), 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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Providence Health & Services (Oregon Region) fax number
(503) 215-0405
Wrong or outdated? Report this number
Release of Information (ROI) Central Reception / Health Information Management
Used for: Medical records release / PHI disclosure requests
Fax destination details
- Department
- Release of Information (ROI) Central Reception / Health Information Management
- Purpose
- Medical records release / PHI disclosure requests
- Form
- Authorization to Use, Disclose & Release Protected Health Information — AUTHORIZATION TO USE, DISCLOSE & RELEASE PROTECTED HEALTH INFORMATION
- Address
- P.O. Box 4950, Portland, OR 97208
- Voice phone
- 503-215-7425
- 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.
Form explains authorization to disclose health information, what records may be released, purpose, any limitations, optional directions (fax, email, etc.), and expiration (typically 180 days). Signature required. Certain information may be restricted by state/federal law.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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