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Information Requests

CHANGES to OT contact info ?

To submit any changes to your name, address, telephone, e-mail address:
Please get changes to your contact information to us in writing.  
It is best to send an e-mail to Felicia.M.Holgate@state.or.us  
You can also fax it to 971-673-0226, or mail it to:  OT Licensing Board,
800 NE Oregon St. Suite 407, Portland, Oregon 97232.
 
If it is a name change be sure to include:
  • copy of the legal document that changed your name;
          The document can be a copy of divorce papers, marriage certificate or name change document. 
  • Exactly how you wish the name to appear
          Do you want both names, a middle initial ?
  • Other changes to address, telephone or e-mail.
 
Please take care to do this.  We sometimes get a name change, then are told the licensee actually wants a former name instead of their middle initial so want a new copy of the license and after it is mailed, it is returned because the address has changed. 
 
This can be very frustrating and take a lot of our time.  At this point we do not charge for printing a new license.  If it starts taking a lot of time we will need to start charging a fee. 
 

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LICENSE VERIFICATION

Do you need an OT license verified?
 
There is NO charge in Oregon for license verifications.
 
To verify a license for an OT or OT Assistant online go back to the home page (click on top line for Occupational Therapy Licensing Board and see in the middle of the page where you can verify a license with a name, license number, or city of practice. 
  
The license verifications does constitute a "primary issuing source" for purposes of license verification.   You can click on the Last name,  First name, License Number, or City, or scroll down to the second box for specialty areas.     
  
 
If you need a written verification form sent to another state, it is best to request the verification of licensure by e-mail.  Send the verification request to  Felicia.M.Holgate@state.or.us giving the full address where the verification needs to go.  If you cannot send the request by e-mail then you can call 971-673-0198, or fax 971-673-0226 or by writing to the Board office.   
 
We try to send verifications out within a few days.  The Board verifies the license number, whether it is current, the date of initial licensure, and whether the board has disciplined the licensee.   We will try to notify you by e-mail when the verification is sent.   
 
Note:  Oregon law requires all information obtained during a complaint be kept confidential, including the fact that there is an on-going investigation (except in rare instance where there is a showing by clear and convincing evidence that disclosure is in the public’s interest).
 
However, once the investigation is complete and the Board, by a majority vote, has taken disciplinary action, a copy of the action is available on request.  These requests generally come from other state licensing boards, insurance carriers, and potential employers.  See more information on the Complaints/Investigation tab.

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LICENSEE LIST REQUEST

Do you need an address list of Licensees?
Licensee lists are public information and are available upon request for a fee of $25. Persons may order a list of licensees by sending in a written request, stating whether list is to be in zip code order or alpha order, along with the $25 payment.
 
Make checks or money orders payable to:
Oregon Occupational Therapy Licensing Board 
800 NE Oregon, Suite 407
Portland, Oregon 97232
 
For a licensee list request form, click here
 
If you have questions about specific requests, please contact Nancy Schuberg  at Nancy.Schuberg@state.or.us  or e-mail 
Felicia.M.Holgate@state.or.us
or call the OTLB office at 971-673-0198.  You can also send a fax to 971-673-0226. 
 
We hope to have credit card payments for this service soon.
We do not give out e-mail addresses of licensees. 

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LICENSE APPLICATION FORMS

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CE ACTIVITIES LOG FORM

For more information on CE click here for Continuing Education  
 
Click here for a  CE_Activities_Log_Form in word.
 
Click here for a  CE_Activities_Log_Form in pdf.

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SUPERVISION STATEMENT

OT Assistants working in Oregon must have a signed Statement of supervision
Look under Supervision or for a Statement of Supervision form click here.
 
A new rule deletes the requirement that the Statement of Supervision be notarized.
 
During the 2010 renewal the Board hopes to have you fill out the supervision form online as part of the online renewal application. 

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NUMBER OF LICENSEES

In 2009 there were 1674 licensed OT in Oregon (268 were OT Assistants). 

In November, 2013 there are 2063 licensed OTs in Oregon (381 are OT Assistants).  Renewals will start in March 2014 and are due May 2014.  

 

HistoryOTLicensees1997-2014.xlsHistoryOTLicensees1997-2014.xls

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CUSTOMER SURVEY

If you received services from the OT Licensing Board please fill out this very short survey online:
The survey is short and confidential (unless you identify yourself in the comments section).  We do read all your comments, and try to improve our services based on them.
 
Please click here for the survey.

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