PARTICIPATING PROVIDER AGREEMENTParticipating Provider Agreement • February 25th, 2016 • Oregon
Contract Type FiledFebruary 25th, 2016 JurisdictionThis Participating Provider Agreement (“Agreement”) is made and entered into effective _, 2016 (“Agreement Effective Date”) by and between Legacy Health Partners, LLC, an Oregon limited liability company (“LHP”), and (“Participant”). LHP and Participant are sometimes referred to herein collectively as the “Parties” and individually as a “Party”.