Physician Assistant Membership Application
Please download either the Word® or Adobe® Acrobat Application below, fill it out and return it to us by postal mail to:
Medical Society of Metropolitan Portland
4380 SW Macadam Avenue Suite 215
Portland, Oregon 97239
Or by Fax to 503-222-3164
Summary of Member Benefits
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PHY ASSIST MEMBERSHIP APPLICATION.DOC (39.5KB)
This is the application for Licensed Physician Assistants only. Please print it out, fill it in and return it to our office: By fax: 503-222-3164, by e-mail: amanda@msmp.org, or by postal mail: 4380 SW Macadam Avenue, Suite 215, Portland, OR 97239.
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PHY ASSIST MEMBERSHIP APPLICATION.PDF(76.2KB)
This is the application for Licensed Physician Assistants only. Please print it out, fill it in and return it to our office: By fax: 503-222-3164, by e-mail: amanda@msmp.org, or by postal mail: 4380 SW Macadam Avenue, Suite 215, Portland, OR 97239.
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