Skip to main content

Oregon State Flag An official website of the State of Oregon » Homepage

Oregon Reciprocity

Oregon Health Authority, Emergency Medical Service & Trauma Systems Program (OHA-EMS) may grant a license to an emergency medical services provider (EMSP) through reciprocity who is currently licensed in another state and also holds a current National Registry certification. Applicants for reciprocity must also meet the requirements for licensure in Oregon outlined in ORS 682 and OAR 333-265.

Oregon licensure is granted at the level of the applicant's National Registry certification. Individuals who are NOT state licensed, yet are currently certified through National Registry, do not qualify for reciprocity. However, these individuals may apply for initial Oregon licensure. The link to the online application process for reciprocity and initial licensure is located below.

Reciprocity Application Requirements

Required Documents

The required documentation for all reciprocity applicants is listed below. The documentation will be uploaded as part of the online application process.

  • Current state EMS license or certification
  • Previous state EMS license(s) or certification(s), if applicable
  • Current certification from National Registry (NREMT)
  • Current CPR certification at the AHA Healthcare or BLS Provider level (or equivalent); courses must include didactic, skill performance and evaluation
  • Current government ID (driver's license, military ID or passport)

Paramedics who apply for reciprocity are required to submit proof of an associate degree or higher, or proof of active employment at the National Registry Paramedic level for two of the past five years. Employment must include advanced life support, first response paramedic experience in either another state or the U.S. Military and the NREMT-P level.

Starting December 1, 2023, Paramedics wishing to apply for a license in Oregon who do not meet the minimum requirements of an associate degree or higher, or active employment as a paramedic for two of the past five years, can apply with an NREMT-P certificate for a Transitional Paramedic license.

EMTs, AEMTs, and Transitional Paramedics who apply for reciprocity are required to submit proof of a High School diploma (or equivalency).

Transitional Paramedic FAQ

Background Checks: All initial and reciprocity applicants must submit an electronic fingerprint background check. Instructions regarding the fingerprinting process are included in the online application process. 

Oregon eLicense Online Application

Use the Oregon eLicense Portal to establish an account and apply for Oregon EMS licensure.

Go to eLicense

Reciprocity Fees

EMR - $50.00

EMT - $140.00

AEMT - $165.00

Paramedic - $300.00

Transitional Paramedic - $350.00

Fingerprinting services are provided by Fieldprint, which will require a separate charge. The instructions and fee information for this service are included in the online application.