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Board Jurisdiction and Scope of Practice of Naturopathic Medicine

Board staff is here to answer your questions, hear your comments and concerns.  Staff primarily works remotely, the best way to reach us is to send an email.

As a reminder—the Board regulates the practice of naturopathic medicine to ensure public safety for those seeking naturopathic care in the State of Oregon.

Please note the Board does NOT have jurisdiction over the following:

· Insurance codes or coding, disputes with insurance providers or patients

· Employment and independent contractor matters, contract or employment disputes

· Business matters—including formation, incorporation, management structure, or facility requirements

· Delegation of tasks for personnel or employees licensed and regulated by other state agencies.

Board staff can only answer questions regarding Board statutes and rules, can not provide legal advice, or advise on insurance, business or employment matters.  Please review Board statutes and rules for questions regarding the Board's regulatory authority. 

Certified medical assistants are not regulated in the State of Oregon.  ND's may delegate duties to a CMA, but may not delegate the practice of medicine.  NDs are responsible for their patient's care, meaning if an ND delegates responsibilities to a CNA who is not adequately trained, the ND can be held responsible/investigated/disciplined.  

See below administrative rule that requires NDs to provide “direct supervision"  of their staff / assistants.

Please see the following administrative rule regarding the education and training necessary to engage in IV / Injection therapy and which therapies require a license to practice naturopathic medicine.;JSESSIONID_OARD=k4_T1GLU4-vLIldEkH28ev9-ArVwC9qdm7r5CzCnSA31sCmRm_1f!846163716?ruleVrsnRsn=289269

What credentials does one need in OR to start IV Under the supervision of an ND?

The Board of Naturopathic Medicine regulates the practice of naturopathic medicine in the State of Oregon. Naturopathic physicians are permitted to hire assistants – including unlicensed personnel. An ND may delegate responsibilities to their assistants, but may not delegate the practice of medicine.

Per 850-060-0212 - Education and Reporting Requirements for Injection and IV Therapy; A ND may delegate duties in section (1)(a) to unlicensed personnel with the appropriate training per the rule.

Please see:

In most relevant part:

(1) Injection Therapy of Compounded, Manufactured, Injectable Grade Injectate:

(a) Subcutaneous, Intramuscular, Intravenous Injection: Prior to administering or supervising the administration of injections in this section, Licensee must submit to the Board proof of completion of six (6) hours of Board approved education focused on anatomy, palpation, injection technique, aseptic / sterile technique as follows:

(A) Three (3) hours didactic education

(B) Three (3) hours practical education

(5) Continuing Education Provider Requirements:

(a) Section 1(a): Subcutaneous, Intramuscular, Intravenous Injections; education must be provided by a Naturopathic Physician, Doctor of Medicine, Doctor of Osteopathic Medicine, or faculty of an accredited medical or naturopathic school or college. Courses taken at an accredited medical or naturopathic school or college may apply.

(7) An active Oregon license to practice Naturopathic Medicine and full compliance with 850-060-0212 is required prior to engaging in the following:

(a) Injection therapies that are medical in nature listed in Section 1(a)

(b) All injection therapies listed in Section 1(b)- Section 4.

Injection therapies that are medical in nature are injection therapies that are not cosmetic, – i.e. treating migraines with Botox.