Oregon Stroke Network
Oregon Stroke Network Membership & Donation Form
Thank you for interest in joining or renewing your membership with the Oregon Stroke Network.
This form also provides the option to make a one-time donation to the Oregon Stroke Network.
(membership not required)
Your participation and support are greatly appreciated!
All members will be required to create a Login ID and Password to be utilized when accessing the
OSN Member Database
. Please allow 2 weeks for account creation and membership processing before attempting to log in to the site.
Memberships are currently only offered on an annual basis. Members will be notified a month prior to expiration inviting them to renew. Membership levels and rates are listed below.
> $25 | Non-physician (nursing, EMS provider, pharmacist, therapist, other)
> $100 | Physician Provider (MD, DO, NP, PA)
> $50 | Not For Profit
> $100 | For Profit
For further questions regarding membership or the application process, please contact: firstname.lastname@example.org.
Professional: Physician Provider
Corporate: Not For Profit
Corporate: For Profit
Please create a Login ID and Password to utilize when accessing the OSN Member Database.
Do Not Fill This Out