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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's degree or higher, or proof of active employment as a paramedic for three of the past five years.

A background check is required for all applicants. Fingerprints are required for those who have lived outside the State of Oregon for more than 60 days in the past five years. Instructions regarding the fingerprinting process are included in the online application process. Active Duty military or individuals who were discharged in the last 180 days and who are requesting reciprocity in the State of Oregon may waive the fingerprint-based background check by submitting active orders or a DD214.

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

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

Provisional Paramedic License

Paramedics who are currently licensed/certified in another state and who hold a current National Registry certification but do not meet the degree or work experience requirement for Oregon paramedic may be eligible for an Oregon provisional paramedic license. Oregon's provisional paramedic license allows the paramedic to work while completing the requirements for an associate's degree.

To be eligible for an Oregon provisional paramedic license, the following criteria must be met:

  1. Be currently licensed/certified in another state and be in good standing with the EMS licensing board.
  2. Hold a current National Registry Paramedic Certificate.
  3. Be employed or have a valid employment offer from Oregon EMS agency.
  4. Approval for a provisional status from the EMS Medical Director of the Oregon agency for which the applicant is or will be employed.
  5. Applicant is enrolled in an accredited institution for higher learning, is able to remain continuously enrolled until completion of the degree, has no more than 12 credits remaining to complete the degree, and is able to complete the degree within 12 months.

Application for an Oregon Provisional Paramedic License

Contact Sandra Smith for the provisional paramedic application checklist at the email below. Completion of the checklist is required in addition to the online reciprocity application.


Provisional Paramedic License Fees

$300.00 Paramedic application

$50.00 Provisional Paramedic fee

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