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Physician Applications (MD/DO/DPM)

Physician Assistant Applications

Acupuncturist Applications 

 
License Application Forms
 
 
Physician Applicants (MD/DO/DPM)
 
 
 
Physician Assistant Applicants
 
 
 
Acupuncturist Applicants
 
 
 
Forms Related to Current Practice
 
License Reactivation Forms
  
Physician (MD/DO/DPM)
Physician Assistant
  • Checklist  In development. For information please contact the Board at (971) 673-2700 
  • Reactivation Affidavit
Acupuncturist
  • Checklist  In development. For information please contact the Board at (971) 673-2700
  • Reactivation Affidavit
 
Public Information
 
  • Verification of License
  • Disciplinary Actions/Board Orders
  • Malpractice Reports
 
 
 
AGGREGATE Licensee Information:
 
 
Licensee Data
 
 
Forms Help
These forms are in Portable Document Format (PDF). To view them, you must have Adobe Acrobat or a compatible reader on your computer.

Note: You must have version 5.0 or higher of the Acrobat Reader program to fill in the forms online. Version 4.0 may cause errors when viewing or filling in some pages. The free Acrobat Reader does NOT let you save fill in data. Users that frequently use online Adobe forms may wish to consider buying the full product.

When you have finished filling out the form, print the document and mail or fax it to the OMB with any required payment. Don't forget to sign and date the form if applicable.
 
The OMB's mailing address is:
 
Oregon Medical Board
1500 SW 1st Ave., Suite 620
Portland, OR 97201
 
fax: (971) 673-2670
 
 

 

Need more help?  Call us at 971-673-2700 or Toll Free in Oregon 877-254-6263

Our staff are available by phone to assist you between 9:00 AM - 12:00 PM and 1:00 PM - 3:00 PM, Pacific Time.