Based on its approved bylaws, OWhN is governed by the ten members of the network. Decisions regarding projects including training, use of funds, and appointment of officers and sub-committees are made by the full membership during quarterly meetings.

On February 21st, 2018, OWhN selected its first officers. They are: Jim Wallis, Chairperson, Sheree Smith, Vice Chairperson, and Harry Geller, Secretary-Treasurer. Jim Wallis was the former Chief Financial Officer of Yellowhawk Tribal Health Center. He is currently retired. Sheree is the Executive Director of the Morrow County Health Department. Harry Geller is the President of CHI St. Anthony Hospital of Pendleton. All of these officers of OWhN will serve two year terms.

On November 21, 2018, the Oregon Washington health Network was approved as a Federal and state non-profit organization. Full approval of the networks policies will be completed during its February 2019 network meeting.