The following information is provided for your use in applying for reactivation of your Oregon license to practice medicine.
The Board is charged with protecting the public. Before granting reactivation, the Board must ensure that there is no information of a derogatory or questionable nature in the licensee's background. If you wish to return to active practice in Oregon, or if you wish to practice under a status where you can receive remuneration for your services, you are required to reactivate your license.
Please submit your affidavit at least 90 days before you wish to change your status. This will allow time for Board staff to receive the required documents and process the application.
Please read the following instructions carefully as omissions or incorrect information will delay the processing of the application, which will in turn delay the beginning date of your practice in Oregon.
DOCUMENTS TO BE SUBMITTED BY THE LICENSEE
Affidavit: Please submit the original copy of the notarized Physician Reactivation Affidavit to the Board.
Fees: The $98 reactivation fee includes fees for application processing and for fingerprint processing. Please note that back fees such as renewal and late fees may be applicable and will be evaluated and communicated to you at the time your application is initially processed.
Fingerprints: Fingerprinting requirements can be found at: http://www.oregon.gov/omb/licensing/Pages/Fingerprint-Requirements.aspx.
DOCUMENTS TO REQUEST FROM OTHER SOURCES
Training Verifications from Internship, Residency, and Fellowship Hospitals: If you have done any training from the time you last renewed your Oregon license or during the past 5 years, whichever is most recent, request a verification of training directly from the training program. The verification must show the type of training completed, the dates of the training, as well as answers to questions regarding performance during the training program. Please use the Verification of Internship, Residency, Fellowship Training Form.
Employment, Staff Membership Verification: Request a verification of employment directly from any hospital, clinic, or facility where you have practiced, held privileges, or completed locum tenens assignments since the time you last renewed your Oregon license or during the last 5 years, whichever is most recent. The verification must show the beginning and ending dates of employment or staff membership as well as answers to questions regarding performance during the period of employment or staff membership. Please use the Verification of Practice, Employment, Staff Membership Form.
Personal History Documentation: For affirmative answers to Personal History Questions, if applicable.
PODIATRISTS ONLY -- Federation of Podiatric Medical Boards Disciplinary Report: Request the disciplinary report be sent directly from the FPMB. For more information, visit: https://www.fpmb.org/OrderReports.aspx.
DOCUMENTS OBTAINED BY OMB STAFF
OMB staff will obtain the following documentation for your reactivation:
National Practitioner DataBank Report
Federation of State Medical Boards (FSMB) Disciplinary Report
Verification of Other State Licensure
Verification of Specialty Board Certification
CLINICAL COMPETENCY AND RE-ENTRY TO PRACTICE
If you have not completed postgraduate training within the past 10 years or been certified or recertified by a specialty board within the past 10 years, you may be required to demonstrate clinical competency by passing the Special Purpose Examination (SPEX) or Comprehensive Osteopathic Medical Variable-Purpose Examination (COMVEX). In addition, if you have been out of practice for 12 or more consecutive months immediately prior to applying for reactivation of Oregon licensure, additional requirements may apply. Please review OAR 847-020-0182 and OAR 847-020-0183 for further details.
OTHER SUPPLEMENTAL FORMS
Chronology of Activities