50-State Guide
Oregon
Last updated June 2026
At a Glance
| Category | Details |
|---|---|
| IMLC Member | No |
| FCVS | Accepted |
| NP Independent Practice | Yes |
| PA Independent Practice | Yes |
| Physician-Owned PC Allowed | No |
| Max NPs per Physician | No Limit (FPA) |
| Max PAs per Physician | No Limit |
Licensure
| Item | Cost |
|---|---|
| Initial License | $575 |
| Renewal Fee | $634 |
| Renewal Cycle | Biennial |
| Annualized Cost | $317.00 |
| Controlled Substance Registration | No |
In-State Physician Requirement
None.
APC Supervision
Nurse Practitioners
NPs can practice independently in Oregon.
- Maximum NPs per physician: No Limit (FPA)
Physician Assistants
PAs can practice independently in Oregon.
- Maximum PAs per physician: No Limit
CME & Training Requirements
| Requirement | Details |
|---|---|
| Total CME | 1 hours |
| Category 1 Minimum | See board |
| Cycle | 4-year |
| Opioid/Pain Mgmt | 6 hrs/cycle |
| Human Trafficking | Not required |
| Implicit Bias | Not required |
| Suicide Prevention | Not required |
| DEA MATE Act | 8 hrs one-time (federal) |
| Jurisprudence Exam | Required |
Fingerprint Requirements
| Detail | Info |
|---|---|
| Required | Yes |
| FBI Check | Yes |
| Method | Fieldprint |
| Out-of-State Options | Contact board |
| Timing | With application |
Quirks & Gotchas
Fees
- Application fee: ~$423** (nonrefundable, nontransferable, must be paid before processing begins)
- Registration (initial): ~$576 — total new-license cost roughly $999**
- Renewal (biennial): ~$745** (active MD/DO/DPM)
- All fees are posted as a PDF only (not on the web page itself) — check the current fee schedule PDF directly
- Fees are never refunded or credited under any circumstance**, including if your application expires or is denied
Other Gotchas
- Applications expire in exactly 12 months** from receipt — no extensions granted. If it lapses, you pay full fees again and restart.
- Documents held only 1 year.** If the board receives supporting docs but you never submitted an application, those documents are destroyed after 12 months.
- Employment verifications stale out at 3 months** — any verification from your current employer dated more than 3 months before the board receives your application must be resubmitted fresh.
- Full employment history for 5 years required**, covering every job, locum assignment, volunteer role, and staff privilege — sent directly from each facility. Closed facilities require peer physician letters as substitutes.
- Chronology of Activities form** must account for 100% of time since medical school graduation with no gaps. Any unexplained gap triggers a derogatory review.
- Passport-quality photo within 90 days** of submission required — not a driver’s license or casual photo.
- Birth certificate must be an official state vital records document** — hospital birth certificates are not accepted.
- Naturalized citizens cannot photocopy their naturalization certificate** — must submit a notarized affidavit instead.
- Affirmative answers to any personal history question** (criminal, malpractice, health, board actions elsewhere) trigger Administrative Affairs Committee (AAC) review, pushing your case to the next quarterly Board meeting. This can add months.
- Falsifying or omitting information on the application carries an automatic $195 fine plus disciplinary action.
Application Requirements
- Chronology of Activities Form** — mandatory for all applicants
- Malpractice/Medical Professional Claims Information form** — required if any claims exist
- Name Change Affidavit (notarized) or Naturalization Affidavit** (notarized)
- ECFMG Certification** status report (international medical graduates)
- SPEX Exam Waiver Request** — if you qualify but want to avoid the exam
- Telemedicine Practice Description Form** — required if you intend to practice telehealth in Oregon
- Separate verification forms for each: medical school, internship, residency, fellowship, each employer, each state license
Jurisprudence Exam
- Open-book exam** on Oregon’s Medical Practice Act (ORS Chapter 677) and OAR Chapter 847
- Required for all MD/DO/DPM applicants — no exceptions, no cost listed separately
- One correct answer per question** — despite being open-book, it is graded
- Separate versions exist for physicians, physician associates, and acupuncturists
- Fail 3 times**: you must appear in-person before the Board (Executive Director, Medical Director, investigator, Board member) before a 4th and final attempt is allowed
- Fail the 4th attempt**: licensure may be denied
- Can be submitted via Secure Upload Portal, postal mail, or fax (971-673-2672)
- Note: The DEA exam is no longer required (previously a separate requirement — now removed)
Exam Requirements
- Required if: postgraduate training was completed 10+ years before application, OR you have ceased practice for 12+ consecutive months
- Also triggered at reactivation under same conditions
- Waiver options** (case-by-case, may be denied):
- Current board certification/recertification within the past 10 years
- Active appointment as Professor/Associate Professor at OHSU or Western University COMP-NW
- At least 50 hours of Board-approved CME per year for the past 3 years
- Documented ongoing Maintenance of Certification (MOC) with a specialty board
Fingerprints & Background Check
- Mandatory** for all applicants — state (Oregon State Police) and federal (FBI) criminal history check
- Done through Fieldprint Inc (fieldprintoregon.com), code: FPOMBLicenseDAS
- Processing time: 2-4 weeks — this is a bottleneck that runs concurrently with other processing
- Physicians have higher fingerprint rejection rates** due to dry hands from frequent hand washing — the board explicitly warns about this and recommends moisturizing before the appointment
- Rejected prints require a repeat appointment; the board or Fieldprint will notify you
- Contact for issues: fingerprints@omb.oregon.gov
CME & Mandatory Training
- 60 hours per 2-year period (30 hours if licensed in year 2 of the biennium)
- Must be AMA Category 1, AOA Category 1A, or AOA Category 2A only
- Pain Management: 6 CME hours** focused on pain management and/or care of terminally ill/dying patients — every biennium
- Pain Management Commission: 1 additional hour** from the Oregon Pain Management Commission — separate from the 6 hours above (does NOT apply to Lapsed, Limited, Telemedicine, Teleradiology, or Telemonitoring license holders)
- Cultural Competency: minimum 1 hour per year of licensure** — audited every 4 years; current audit period is 2024-2027, audited in Fall 2027
- Suicide risk assessment, treatment, and management
- Detection/early diagnosis of Alzheimer’s disease and appropriate antipsychotic prescribing for Alzheimer’s patients (especially encouraged for primary care and geriatrics)
- Federal MATE Act (effective June 2023): one-time 8-hour training on opioid/substance use disorder treatment is required at your next DEA registration renewal — not an OMB requirement but a DEA prerequisite physicians often discover late
- Deficient CME: $250 fine + 120 days to comply
- Still deficient at 120 days: $1,000 fine
Timeline
- Steps 1 and 2: currently unlimited attempts
- Step 3: maximum 4 attempts**
- All three Steps must be passed within 7 years** — exceeding this requires a formal waiver with documented justification (PhD, illness, board certification, continuous training)
Timeline
- Standard: 8-12 weeks** from complete application to license issuance
- IMLC compact (expedited): 2-3 weeks** — Oregon is a member, available if another IMLC state is your state of principal licensure
- Once the file is complete, licenses are approved every Monday by the Executive Director and issued same day
- FCVS is accepted but not required** — board still does independent primary source verification, so FCVS does not materially shorten the timeline
- Teleradiology and pathology performed remotely do not require an Oregon license; telemedicine and telemonitoring do
Other Gotchas
- Call center hours are limited**: 9 AM-12 PM and 1-3 PM Pacific only — plan accordingly if you need to follow up
- Administrative Affairs Committee delays**: any derogatory history flag pushes your case to a quarterly meeting — potentially adding 2-3 months
- Military spouse licensure and distinguished professor** pathways exist as non-standard fast tracks
- $195 fine** is automatic for any false or incomplete disclosure on the application — it is not discretionary
- Oregon Medical Board: Fees
- Oregon Medical Board Fee Schedule PDF (effective 7/10/2025)
- Oregon Medical Board: Application Requirements and Instructions
- Oregon Medical Board: Fingerprint Requirements
- Oregon Medical Board: MPA Exam
- Oregon Medical Board: Application Process FAQs
Researched from state board websites and regulatory sources. Verify with the board directly before applying.
Resources
Sources
Data compiled from state medical board websites, FSMB, and regulatory filings. Last updated June 2026.
Have a correction or update? Let us know.