OAR 339-010-0018: Name, Address and Telephone Number of Record

(1) Every applicant, licensee and limited permit holder shall keep on file with the Board their: (a) Legal name; (b) Home address which must include a residential address and may also include a post office box number; (c) A current contact telephone number and electronic mail address, if available; (d) The name, address and telephone number of their current employer or place of business; (e) A current designated mailing address. (2) Whenever an applicant, licensee or limited permit holder legally changes their name, they shall notify the Board in writing within 30 days of the name change and provide the legal documentation of the name change. (3) Whenever an applicant, licensee or limited permit holder changes their home address, their employer or place of business, their contact telephone number, electronic mail address or their mailing address, they shall notify the Board in writing within 30 days. Written notification may be by regular mail, electronic mail, facsimile or through online submission. (4) Unless requested for a public health or state health planning purpose or unless extenuating circumstances exist, the Board will withhold the personal electronic mail, address, home address, and personal telephone number of a licensee.