Seniors People with Disabilities Information Memorum Transmittal Jeanette Burket Number: SPD-IM-06-085 Authorized Signature Issue Date: 10/26/2006 Topic: Long Term Care Subject: Homecare Worker Registry Applies to (check all that apply): All DHS employees Area Agencies on Aging Children, Adults Families County DD Program Managers County Mental Health Directors Health Services Seniors People with Disabilities Other (please specify): Message: The Oregon Home Care Commission (OHCC) is continuing the development of the statewide Registry Referral System (RRS). The RRS testing will begin 11-13-06 will pilot in Douglas County starting 11-30-06. Based on the request in SPD-AR-06-030, geographic areas from each local office were submitted to the OHCC. The attached table was compiled based on the information received by the OHCC. The information in the County Cities/Regions columns will be used in the RRS to aid in matching employers with HCWs. The contact information in the third column will not be displayed to the public but will be used to keep local offices apprised of progress changes with the RRS. Please review the attached table if changes are necessary, provide that information to Wendy Sampels, OHCC Registry Manager. After this initial release, the OHCC will contact local offices on a regular basis to ensure the information remains accurate. Contact Information: wendy.sampels@state.or.us Phone: 503.373.1078 FAX 503.378.5886 If you have any questions about this information, contact: Contact(s): Suzy Quinlan, SPL Program Analyst DHS 0080 (02/04)
Phone: (503) 947-5189 Fax: (503) 947-4245 E-mail: Suzy.quinlan@state.or.us DHS 0080 (02/04)
Geographic Cities/Regions by County County Cities/Regions Branch #/Contacts Baker Baker City Haines Halfway Hereford Huntington North Powder Richl Sumpter Unity 0111 Baker City-Baker Cindi Nichols 3165 10 th St Suite 100 Baker City, OR 97814 541.523.5846 X 321 Fax 541.523.5667 Cindi.Nichols@state.or.us Sheri Shaw, Supervisor 3165 10 th St Suite 100 Baker City, OR 97814 541.523.5846 FAX 541.524.0441 Sheri.L.Shaw@state.or.us 1
Benton/Linn Adair Village Albany Alsea Bellfountain Blodgett Brownsville Cascadia Corvallis Crabtree Crawfordsville Foster Gates Halsey Harrisburg Holley SSO 2211 Albany Linn/Benton Linda Blankenship 1400 Queen Av SE Ste 206 Albany, OR 97322 541.967.8630 FAX 541.967.6423 LBLANKEN@ocwcog.org Jefferson Lebanon Lyons Mill City Monroe Philomath Scio Shedd Sodaville Sweet Home Tangent DSO 2217 Albany Linn/Benton Debbie Jones 1400 Queen Av SE Ste 103 Albany, OR 97322 541.812.6012 FAX 541.928.3729 djones@ocwcog.org Tabatha McCord 1400 Queen Av SE Ste 103 Albany, OR 97322 541.924.4531 FAX 541.928.3729 TMcCord@ocwcog.org Clackamas Aurora Barlow Beavercreek Boring Brightwood Canby Charbonneou Clackamas Colton Corbet Damascus Eagle Creek Estacada Gladstone Government Camp Gresham Happy Valley Hubbard Johnson City Lake Oswego 0312 Oregon City - Clackamas Pam DeCristoforo PO Box 2950 Oregon City, 97045 503.650.5608 FAX 503.650.5722 pamdec@co.clackamas.or.us 2
Marylhurst Milwaukie Molalla Mount Angel Mulino Newburg Oak Grove Oregon City Redl Rhododendron Rivergrove Sy Sherwood Silverton SE Portl Tigard Tualatin Welches Wemme West Linn Wilsonville Woodburn Zig Zag Clatsop Columbia Astoria Cannon Beach Gearhart Seaside Warrenton Birkenfield Clatskanie Deer Isl St Helens Warren Rainer Scappose Vernonia SSO 0411 Gearhart - Clatsop DSO 0417 Seaside - Clatsop Helen Warriner NWSDS Gearhart Office 3523 Hwy 101 N Gearhart, 97138 503.738.4901 FAX 503.738.6454 helen.warriner@state.or.us 0511 St Helens - Columbia Lida Friedenberg 500 N Hwy 30 Suite 240 St Helens, OR 97051 503.397.5863 X 450 FAX 503.397.0389 Lida.K.Friedenberg@state.or.us Coos Allegany 0611 North Bend - Coos 3
Bon Bridge Suzanne Gurney 3030 Broadway Broadbent North Bend, OR 97459 Charleston 541.756.2017 Coos Bay FAX 541.756.1861 Coquille Gardiner Lakeside Myrtle Point North Bend Norway Powers Reedsport Remote Scottsburg Winchester Bay suzanne.gurney@state.or.us Back-up: Terri Sutton 3030 Broadway North Bend, OR 97459 541.756.2017 FAX 541.756.1861 terri.sutton@state.or.us Crook Curry Prineville Agnes Brookings Gold Beach Harbor Langlois Ophir Pistol River Port Orford Sixes Wedderburn Cresent City, CA Smith River, CA 1611 Prineville - Crook Beth L Wilson 427 NE Ochoco Plaza Drive Prineville, OR 97754 541.447.4511 541.447.8010 Beth.L.Wilson@state.or.us Jane Baer, Supervisor 1300 NW Wall St, Ste 102 Bend, OR 97701 541.447.4511 X 320 FAX;541.388.6490 Jane.Baer@state.or.us 0811 Gold Beach - Curry Suzanne Gurney 3030 Broadway North Bend, OR 97459 541.756.2017 FAX 541.756.2017 suzanne.gurney@state.or.us Back-up: Terri Sutton 3030 Broadway North Bend, OR 97459 541.756.2017 FAX 541.756.2017 terri.sutton@state.or.us 4
Deschutes Bend Crescent Crooked River Ranch Fort Rock Gilcrest La Pine Redmond Sisters Sunriver Terrebonne 0911 Bend - Deschutes Jennifer Martin 1300 NW Wall St, Ste 102 Bend, OR 97701 541.388.6240 X 221 FAX 541.388.6490 Jennifer.L.Martin@state.or.us Jane Baer, Supervisor 1300 NW Wall St, Ste 102 Bend, OR 97701 503.693.8667 FAX 541.388.6490 Jane.Baer@state.or.us 0913 La Pine - Deschutes Stacey Steiner PO Box 98 La Pine, OR 97739 541.536.8919 FAX 541.388.6490 Stacey.A.Steiner@state.or.us Karren Ruesing, Supervisor 1300 NW Wall St, Ste 102 Bend, OR 97701 541.388.6240 X 38669 FAX 541.388.6490 karren.ruesing@state.or.us 0914 Redmond - Deschutes Jean Huskey 1135 Highl Ave Redmond, OR 97756 5
541.548.2206 X 249 FAX 541.548.6026 Jean.Huskey@state.or.us Vicki Fields, Supervisor 1135 Highl Ave Redmond, OR 97756 541.548.2206 X 224 vicki.fields@state.or.us Douglas Gilliam Azalea Camas Valley Canyonville Days Creek Elkton Drain Gardiner Glendale Glide Green Lookingglass Melrose Myrtle Creek Oakl Reedsport Riddle Roseburg Scottsburg Sutherlin Tiller Tri-City Umpqua Winchester Winchester Bay Winston Yoncalla Arlington Condon Lonerock SSO 1011 Roseburg - Douglas DSO 1017 Roseburg - Douglas Marianne T. Andrus PO Box 2189 621 W Madrone St Rm 316 Roseburg, OR 97470 541.440.3580 FAX 541.440.3599 Marianne.T.Andrus@state.or.us SSO 1011 Reedsport - Douglas Cheryl M Wilmarth 680 Fir St Reedsport, OR 97467 541.271.4835 FAX 541.271.1414 Cheryl.M.Wilmarth@state.or.us Served by: 3311 The Dalles - Wasco Maritza Mondragon 700 Union St The Dalles, OR 97058 541.298.4114 X 235 FAX 541.298.1251 Maritza.Mondragon@state.or.us Grant John Day 1211 John Day - Grant 6
Lone Creek Monument Dorothy Rise 725 W Main St Suite E Mt Vernon Prairie City Seneca John Day, OR 97845 541.575.0255 X 250 FAX 541.575.2910 Dorothy.A.Rise@state.or.us Harney Hood River Jackson Burns Crane Dempsey Fields Hines Princeton Riley Cascade Locks Hood River Odell Parkdale Mt. Hood Applegate Ashl Butte Falls Central Point Eagle Point Gold Hill Jacksonville Medford Phoenix Prospect Rogue River Ruch Shady Cove Talent White City 1311 Burns - Harney Debi Quant 809 W Jackson Suite 300 Burns, OR 97720 541.573.2691 X 245 FAX 541.573.5823 Deborah.Quant@state.or.us Served by: 3311 The Dalles - Wasco Maritza Mondragon 700 Union St The Dalles, OR 97058 541.298.4114 X 235 FAX 541.298.1251 Maritza.Mondragon@state.or.us SSO 1513 Medford - Jackson Elena Devore 2860 State St Medford, OR 97504-8474 541.776.6222 X 265 FAX 541.776.6215 Elena.V.Devore@state.or.us DSO 1517 Medford - Jackson Mary McCulloch PO Box 880 28 W 6 th Ste D Medford, OR 97501 541.776.6210 X 223 FAX 541.776.6251 Mary.Mcculloch@state.or.us Julie Orm, APM PO Box 880 28 W 6 th Ste D Medford, OR 97501 541.776.6210 X 224 FAX 541.776.6251 7
Julie.Orm@state.or.us Jefferson Crooked River Ranch Culver Madras Warm Springs 1612 Madras - Jefferson Susan Christensen 678 NE Hwy 97, Ste D Madras, OR 97741 541.475.6773 FAX 541.475.4697 Susan.E.Christensen@ state.or.us Vicki Fields, Supervisor 1135 Highl Ave Redmond, OR 97756 541.548.2206 X 224 FAX 541.548.6026 vicki.fields@state.or.us Josephine Klamath Cave Junction Grants Pass Merlin Rogue River Selma Sunny Valley Wilderville Williams Wolf Creek Beatty Bly Bonanza Chemult Chiloquin Crescent Dairy 1717 Grants Pass - Josephine Robyn Schacher 2166 NW Vine St Ste J Grants Pass, OR 97526 541.471.3850 FAX 541.474.3125 Robyn.C.Schacher@state.or.us Michelle Wilkinson, OSII 2166 NW Vine St Ste J Grants Pass, OR 97526 541.471.3849 FAX 541.474.3125 Michelle.Wilkinson@state.or.us Sylvia Rice, Supervisor 2166 NW Vine St Ste J Grants Pass, OR 97526 541.474.3110 X 3812 FAX 541.474.3125 Sylvia.S.Rice@state.or.us 1811 Klamath Falls - Klamath Trina Lee, Supervisor st 714 Main St 1 Floor Klamath Falls, OR 97601 541.883.5551 FAX 541.883.5352 Trina.M.Lee@state.or.us 8
Fort Klamath Gilchist Keno Klamath Falls Malin Merrill Midl Sprague River Lake Lane County Adel Christmas Valley Lakeview New Pine Creek Paisley Plush Silver Lake Summer Lake Alvadore Blachly Blue River Cheshire Coburg Cottage Grove Creswell Culp Creek Deadwood Dexter Dorena Elmira Eugene Fall Creek Florence Jasper Junction City Leaburg Lowell Mapleton Marcola Mckenzie Bridge Noti Oakridge Pleasant Hill Springfield Swisshome Veneta Vida Walton Westfir 1814 Lakeview - Lake Trina Lee, Supervisor 714 Main St 1 st Floor Klamath Falls, OR 97601 541.883.5551 FAX 541.883.5352 Trina.M.Lee@state.or.us 2011 Eugene - Lane Kimberly Warner PO Box 11336 1015 Willamette St Eugene, OR 97401 541.682.4582 FAX 541.682.3959 KWarner@lcog.org Back-up Cindy Johnson 1015 Willamette St Eugene, OR 97401 541.682.4481 FAX 541.682.3959 CJohnson@lcog.org 2019 Cottage Grove - Lane Joan Fulton 37 North 6 th St Cottage Grove, OR 97439 541.682.7800 FAX 541.682.7820 JFulton@lcog.org 3211 Florence - Lane Melinda Dietz 3180 Highway 101 Florence, OR 97439-0066 541.902.9430 9
Westlake FAX 541.902.2115 MDietz@lcog.org Lincoln Depoe Bay Eddyville Gleneden Beach Lincoln City Logsden Newport Otis Otter Rock Seal Rock Siletz South Beach Toledo Waldport Yachats SSO 2111 Toledo - Lincoln DSO 2117 Toledo - Lincoln Shelly Martinez 203 Main St Toledo, OR 97391 541.336.7746 FAX 541.336. 1447 smartinz@ocwcog.org Linn/Benton Adair Village Albany Alsea Bellfountain Blodgett Brownsville Cascadia Corvallis Crabtree Crawfordsville Foster Gates Halsey Harrisburg Holley Jefferson Lebanon Lyons Mill City Monroe Philomath Scio Shedd Sodaville Sweet Home Tangent SSO 2211 Albany Linn/Benton Linda Blankenship 1400 Queen Av SE Ste 206 Albany, OR 97322 541.967.8630 FAX 541.967.6423 LBLANKEN@ocwcog.org DSO 2217 Albany Linn/Benton Debbie Jones 1400 Queen Av SE Ste 103 Albany, OR 97321 541.812.6012 FAX 541.928.3729 djones@ocwcog.org Tabatha McCord 541.924.4531 FAX Same TMcCord@ocwcog.org 10
Malheur Marion Morrow Adrian Brogan Harper Huntington Jordan Valley McDermitt Nyssa Ontario Vale Fruitl, Idaho New Plymouth, Idaho Parma, Idaho Payette, Idaho Weiser, Idaho Aumsville Aurora Brooks Detroit Donald Gates Gervais Hubbard Keizer Jefferson Mehema Mill City Mt Angel North Salem St Paul Scotts Mills Silverton South Salem Stayton Sublimity Turner West Salem Woodburn Boardman Heppner 2311 Ontario - Malheur Sharon Chler 186 East Lane Suite 4 Ontario, OR 97914-1849 541.889.7553 X 624 FAX 541.889.2485 Sharon.R.Chler@state.or.us SSO 2411 North Salem - Marion DSO 2418 North Salem - Marion Kim Frey, OSS PO Box 12189 3410 Cherry Ave NE Salem, OR 97309 503.304.3433 FAX 503.304.3434 Kim.Frey@state.or.us SSO 2412 South Salem - Marion DSO 2417 South Salem - Marion Belinda Bayliss, OSS PO Box 12099 3541 Fairview Industrial Dr SE Salem, OR 97309 503.373.7901 FAX 503.371.6599 belinda.bayliss@state.or.us SSO 1911 Woodburn - Marion DSO 1917 Woodburn - Marion Michele Karnaghon, OSS PO Box 297 1320 Meridian Dr Woodburn, OR 97071 503.981.5138 FAX 503.981.5145 michele.karnaghon@state.or.us Served by: 3013 Hermiston - Umatilla 11
Ione Becky Miltenberger Irrigon Lexington 940 SE Columbia Hermiston, OR 97838 541.567.2274 X 222 888.374.8080 Becky.J.Miltenberger@state.or.us Multnomah Corbett Downtown Portl East Portl Fairview Gresham Hillsdale N Portl NE Portl NW Portl St. Johns SE Portl SW Portl Troutdale Wood Village Sauvies Isl Lyra Hall, HCW Coordinator 2900 SE 122 nd Ave Portl, OR 97236 503.988.5480 X 26022 FAX 503.988.3490 Lyra.Hall@co.multnomah.or.us 3518 East Portl - Multnomah Pat Bruce 600 NE 8 th St Room 100 Gresham, OR 97030 503.988.3840 X 29235 FAX 503.988.5676 pat.bruce@co.multnomah.or.us 3515 Mid Portl - Multnomah Antonia Orozco 2900 SE 122 nd Ave Portl, OR 97236 503.988.5480 X 26084 FAX 503.988.3490 antonia.orozco@co.multnomah.or.us 2818 N/NE Portl - Multnomah Joy Patterson 5325 NE MLK Blvd. Portl, OR 97211 503.988.5470 X 25337 FAX 503.988.5430 joy.patterson@co.multnomah.or.us 1418 SE Portl - Multnomah Debbie Watkins 4610 SE Belmont 2 nd Fl Portl, OR 97215 503.988.3660 X 25122 FAX 503.988.3784 debbbie.watkins@co. multnoma h.or.us 12
2518 W Portl - Multnomah Julie Kelley 1111 SW 10 th Ave 2 nd Floor Portl, OR 97205 503.988.5460 X 284 FAX 503.988.3560 julie.kelley@co.multnomah.or.us Polk Sherman Dallas Falls City Gr Rhonde Independence Monmouth Pedee Rickreall Sheridan West Salem Willamina Grass Valley Kent Moro Rufus Wasco SSO 2711 Dallas - Polk DSO 2712 Dallas - Polk A nn Bonds, Info Entry Specialist PO Box 89 182 SW Academy Suite 102 Dallas, OR 97338 503.623.6215 FAX 503.623.2804 ann.bonds@state.or.us Mike Crockett, Supervisor PO Box 89 182 SW Academy Suite 102 Dallas, OR 97338 503.623.2302 FAX 503.623.2804 Mike.Crockett@state.or.us 3311 The Dalles - Wasco Maritza Mondragon 700 Union St The Dalles, OR 97058 541.298.4114 X 235 FAX 541.298.1251 Maritza.Mondragon@state.or.us Tillamook Bay City Beaver Brighton Cloverdale Hebo Garibaldi Manzanita Nehalem Neskowin Netarts Oceanside Pacific City SSO 2911 Tillamook - Tillamook DSO 2917 Tillamook - Tillamook Kathryn Myshak, OSS Wilson River Building 4670 E 3 rd St Tillamook, OR 97141 503.842.2770 X 437 FAX 503.842.6290 Kathryn.Myshak@state.or.us 13
Rockaway Beach Tillamook Wheeler Umatilla Adams Athena Echo Helix Hermiston Milton-Freewater Pendleton Pilot Rock Stanfield Umatilla Weston 3013 Hermiston - Umatilla Becky Miltenberger 940 SE Columbia Hermiston, OR 97838 541.567.2274 X 222 888.374.8080 Becky.J.Miltenberger@state.or.us 3014 Milton-Fre ewater - Umatilla Margarita Zaragoza 309 N Columbia Milton-Freewater, OR 97862 541.938.4925 877.877.7254 Margarita.Zaragoza@state.or.us 3011 Pendleton - Umatilla Diana Bartholomew 1555 Southgate Pl Pendleton, OR 97801 541.278.4161 800.442.4352 Diana.L.Bartholomew@state.or.us Union Cove Elgin Imbler La Gre North Powder Summerville Union 3111 La Gre - Union Jan Sproul 1607 Gekeler Lane La Gre, OR 97850 541.963.7276 X 324 FAX 541.963.7698 Jan.Sproul@state.or.us David Secl 1607 Gekeler Lane La Gre, OR 97850 541.963.7276 X 338 FAX 541.963.7698 David.Secl@state.or.us Libby Goben, Program Manager 1607 Gekeler Lane La Gre, OR 97850 14
541.963.7276 X 323 FAX 541.963.7698 libby.h.goben@state.or.us Wallowa Wasco Washington Enterprise Flora Imnaha Joseph Lostine Troy Wallowa Dufur Maupin Shaniko The Dalles Tygh Valley Wamic Aloha Banks Beaverton Bethany Buxton Cedar Hills Cherry Grove Cornelius Dilley Forest Grove Gaston Gates Creek Glenwood Helvetia Hillsboro King City Manning North Plains Progress Raleigh Hills 3112 Enterprise - Wallowa Patti Allen PO Box 180 Enterprise, OR 97828 541.426.3155 X 221 FAX 541.426. 3878 Patrica.J.Allen@state.or.us Libby Goben, Program Manager 1607 Gekeler Lane La Gre, OR 97850 541.963.7276 X 323 FAX 541.426.3878 libby.h.goben@state.or.us Served by: 3311 The Dalles - Sherman Maritza Mondragon 700 Union St The Dalles, OR 97058 541.298.4114 X 235 FAX 541.298.1251 Maritza.Mondragon@state.or.us 3417 Beaverton - Washington 3411 Hillsboro - Washington 3415 Tigard - Washington Loyce Edwards 133 SE Second Hillsboro, OR 97123-4026 503.615.4665 FAX 541.640.6167 Loyce.A.Edwards@state.or. us Susan Gardner 133 SE Second Hillsboro, OR 97123-4026 503.615.5283 FAX 541.640.6167 Susan.L.Gardner@state.or 15
Rock Creek Scholls Sherwood Tigard Timber Tualatin West Union Wheeler Yamhill Fossil Mitchell Spray Amity Carlton Dayton Dundee Gaston Gre Ronde Hopewell Lafayette McMinnville Newberg Sheridan Whiteson Willamina Yamhill Served by: 3311 The Dalles - Sherman Maritza Mondragon 700 Union St The Dalles, OR 97058 541.298.4114 X 235 FAX 541.298.1251 Maritza.Mondragon@state.or.us SSO 3611 McMinnville - Yamhill DSO 3617 McMinnville - Yamhill Nicole Moore, OSS 300 SW Hill Rd McMinnville, OR 97128 503.472.9441 FAX 504.472.4724 nicole.moore@state.or.us 16