Apply for Membership
You will need the following information to complete your application for medical staff membership:
- All professional licenses in Oregon, Washington and other states, as applicable.
- DEA certificate as applicable
- Curriculum vitae or résumé covering education and work history, along with a written explanation of any gaps in practice greater than 60 days
- Malpractice insurance, certificate of insurance, any other insurance carriers and policy numbers held within the past five years