Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Providence Health & Services (Oregon Region) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Providence Health & Services (Oregon Region) fax number
(503) 215-0405
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
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.