Oregon Administrative Rules
Chapter 331 - OREGON HEALTH AUTHORITY, HEALTH LICENSING OFFICE
Division 925 - FACILITY LICENSING, RENEWAL AND STANDARDS
Section 331-925-0025 - Application Requirements for Mobile Facility License

(1) Meet the requirements of OAR 331 division 30;

(2) Submit a completed application form prescribed by the Office, which must contain the information listed in OAR 331-030-0000 and be accompanied by payment of the required fees;

(3) Submit proof of being at least 18 years of age; documentation may include identification listed under OAR 331-030-0000;

(4) Provide a map or directions to the facility if it is located in a rural or isolated area;

(5) Provide a list of licensees providing services in the facility;

(6) Provide proof of a current registration as required by Secretary of State, Corporations Division pursuant to ORS 648.007; and

(7) Hold a current Assumed Business Name (ABN) filing if applicant is operating under an assumed business name prior to applying for a facility license.

NOTE: ABN is not required if business includes the real and true name of each owner. Refer to Secretary of State, Corporations Division under ORS 648.005 through 648.990.