|
Text Size: A+| A-| A   |   Text Only Site   |   Accessibility
Oregon Board of Massage Therapists

Address Change Form
Submit an Address Change
All licensed massage therapists and applicants must notify the Board of any change of residence, business or mailing address within 30 days of change of address [OAR 34-010-0025(6)].  This request must be in writing which includes mailing, faxing, and e-mailing (Crystal.Quatier@state.or.us).  Please do not call the office.

Identify yourself
Name:
  OR
License Number:
   
New Address
Home Send Mail Here
Street:
City:
State:
Zip:
Phone:
   
Business Send Mail Here
Business Name:
Street:
City:
State:
Zip:
Phone:
   
Mailing Send Mail Here
Street:
City:
State:
Zip:
   
Email Address
Email Address:
   
Check if you do NOT want to be added to the mailing list.
 

 
Page updated: September 18, 2008

Text Only | State Directories | Agencies A to Z | Site Map | About Oregon.gov | Oregon.gov|
File Formats | Oregon Administrative Rules | Oregon Revised Statutes | Privacy Policy | Web Site Feedback|

Get Adobe Acrobat ReaderAdobe Reader is required to view PDF files. Click the "Get Adobe Reader" image to get a free download of the reader from Adobe.