Obtain the form from, and return form to:
Vital Records
P. O. Box 14050
Portland, OR 97923-0050
Tel: 503-731-4492
(This address differs from the return address listed on the form itself. Either address will work, but the above address is specific to the vital records registry itself.)
Contact: Center for Health Statistics of the Health Division of the Department of Human Resources, Salem, OR, Tel: 503-945-5944
Researched and Prepared by
Erik L. Smith