Oregon physician licensing.
One board for MDs and DOs and no IMLC route: every Oregon license is a direct application, by expedited endorsement or the traditional route, with a telemedicine status for physicians practicing from outside Oregon.
This guide is informational only, not legal advice. Fees and timelines change; the verified date and sources are on this page.
Oregon licenses MD and DO physicians through one board, the Oregon Medical Board, and has not joined the IMLC. Expedited endorsement, for physicians in current practice elsewhere with a clean history, cuts verification work, not fees, and out-of-state physicians practicing in Oregon only by telemedicine can hold the license at Telemedicine Active status. For a license issued in 2026, published fees are $1,241 for an MD and $1,236 for a DO, or $1,171 by endorsement; registration costs less for one issued in 2027. The board estimates 8 to 12 weeks from submission. The friction is verification: five years of practice sites and, on the traditional route, every board that has licensed you send verifications, within a six-month application life.
Oregon at a glance.
- License
- MD or DO license at a practice status, such as Active or Telemedicine Active, renewed every two years
- MD and DO
- One board, one application, and one fee schedule for both
- IMLC
- Not a member. No compact law, and no compact bill in the 2025 or 2026 sessions; the last was left in committee in 2021
- FCVS
- Accepted in place of some documents, not required
- Uniform Application
- Not used; the board takes its own online application
- Fingerprints
- Required: a $48 state and FBI check, with prints taken by Fieldprint nationwide
- Jurisprudence exam
- Required: an open-book exam on the Medical Practice Act and board rules, with no fee
- Interview
- Not routine; the board may call you in about information received while it processes your file
- Board fee
- $375 application fee, then $748 in registration fees for a license issued in 2026; nonrefundable
- Renewal
- Every two years, by December 31 of odd-numbered years: $756
- CME
- 60 hours every two years or maintenance of certification, plus pain management and cultural competency education
Which route fits.
MDs and DOs apply to the Oregon Medical Board on one application and fee schedule, by expedited endorsement or the traditional route, and the license issues at the status that matches how you will practice: Active, for practice in Oregon from an address in Oregon or within 100 miles of its border; Locum Tenens, for intermittent Oregon practice of no more than 240 days every two years; or Telemedicine Active, for treating Oregon patients only by telemedicine from outside the state. The fees are the same at each. Oregon has no compact route, and its law says telemedicine is practiced where the patient is located, so treating patients in Oregon takes an Oregon license outside narrow exceptions, such as consulting with an Oregon-licensed physician without taking on primary responsibility for diagnosis or treatment.
Expedited endorsement.
- Who it fits
- Physicians with a current license in another state or DC and a year of active, unrestricted clinical practice in their specialty just before applying, or retired a year or less, who are in good standing everywhere with nothing pending, have had no privileges denied, restricted, or ended for practice or conduct reasons, and show no significant malpractice claim pattern. Your first licensing state must be able to verify your education, training, and exam scores, or the board may accept current ABMS or AOA-BOS certification in its place.
- The trade-off
- The same application and fees, $1,171 for a license issued in 2026, with lighter verification: the board says qualified applicants skip primary-source verification of core credentials. It runs the NPDB, FSMB, and certification checks itself, needs a license verification only from the state where you practice now or did most recently, and asks board-certified applicants for no dean’s letter or residency evaluation. Five years of practice verifications, fingerprints, and the open-book exam remain, and staff decide after you apply whether you qualify; if not, you can complete the traditional application.
Licensing board: Oregon Medical Board.
The traditional application.
- Who it fits
- Any MD or DO, at any practice status, and the route for a first license or for anyone who misses an expedited endorsement criterion, such as a year of current clinical practice or good standing in every state that has licensed you.
- The trade-off
- The full file: verifications from your medical school, each training program, FSMB or NBOME, every practice site of the past five years, and every board that has licensed you in any health profession, plus fingerprints and the open-book Medical Practice Act exam. Published fees for a license issued in 2026 are $1,241 for an MD and $1,236 for a DO, exam transcript included, and the board estimates 8 to 12 weeks from submission, saying it may run longer with an extensive work history or many licenses elsewhere.
The telemedicine license.
- Who it fits
- Physicians who practice entirely outside Oregon and will treat patients located in Oregon only by telemedicine. It is an Oregon MD or DO license at Telemedicine Active status, which Oregon law calls a license for the practice of medicine across state lines, and you can establish the patient relationship, diagnose, treat, and prescribe without being in Oregon. You need a full, unrestricted license in another state and no professional sanction from another state, unless the board finds the sanction does not indicate a potential threat, and a pending investigation rules you out.
- The trade-off
- No shortcut: the same application, documents, and fees as the traditional route, plus a description of the telemedicine practice you intend, so $1,241 for an MD or $1,236 for a DO for a license issued in 2026. It permits no practice in Oregon except across state lines, and you may not act as a dispensing physician, prescribe controlled substances for the management of chronic pain to a person located in Oregon, provide written documentation for a medical marijuana registry card, employ a physician associate to treat a person in Oregon, supervise Oregon-certified first responders or EMTs, or assert a lien for services, among other limits in the board’s rule.
The IMLC.
- Who it fits
- No one, for Oregon. The state has no compact law and has not joined the Interstate Medical Licensure Compact, as the board itself says, and the legislature’s records show no compact bill in its 2025 or 2026 sessions; the last one, HB 2335, was left in committee in 2021.
- The trade-off
- Licenses issued through the compact elsewhere do not reach Oregon, and an Oregon license cannot be your state of principal license for adding member states. If your other licenses came through the compact, Oregon is a separate direct application, by expedited endorsement where you meet its test.
What it costs.
| Application processing fee | $375 |
|---|---|
| Criminal background check, state and FBI | $48 |
| Registration through December 31, 2027, with its library, prescription monitoring, and HPSP fees | $748 |
| All-in | $1,171 for a license issued in 2026 |
| Our service fee | Quoted with your plan |
| Application processing fee | $375 |
|---|---|
| Criminal background check, state and FBI | $48 |
| Registration through December 31, 2027, with its library, prescription monitoring, and HPSP fees | $748 |
| USMLE transcript (FSMB) | $70 |
| All-in | $1,241 for a license issued in 2026 |
| Our service fee | Quoted with your plan |
| Application processing fee | $375 |
|---|---|
| Criminal background check, state and FBI | $48 |
| Registration through December 31, 2027, with its library, prescription monitoring, and HPSP fees | $748 |
| COMLEX-USA transcript (NBOME) | $65 |
| All-in | $1,236 for a license issued in 2026 |
| Our service fee | Quoted with your plan |
The Oregon Medical Board collects every fee here but the transcript, which goes to FSMB or NBOME: the $375 application fee and the $48 background check with the application, then the registration fees once the board finds your file complete, before the license issues. Board fees are nonrefundable, and an application that expires before approval takes a new application and fee. MDs and DOs pay the same board fees at Active, Locum Tenens, and Telemedicine Active status. The $748 is $608 for registration, $20 for the OHSU Library, $70 for prescription monitoring, and $50 for the Health Professionals’ Services Program (HPSP), for the two years ending December 31, 2027. For a license issued from January 1, 2027, the second year of the period, the board reduces these registration fees; its one-year schedule lists $304 for registration, $10 for the library, $35 for prescription monitoring, and $25 for HPSP.
Left out of every total: what other boards charge to verify your license (every board that has licensed you on the traditional route, only your current or most recent one on expedited endorsement); any charge your practice sites make for their verifications; Fieldprint’s own fingerprinting charge, which the board does not publish; on expedited endorsement, a $70 USMLE or $65 COMLEX-USA transcript, only if your first licensing state cannot supply your scores; FCVS, which is optional ($395 for a first profile, transcripts included); SPEX ($1,400, to FSMB) or COMVEX ($750, to NBOME), only if the board requires one; an NPDB self-query, $3 a year, only if the board asks; translations and notarization; and, for international graduates, ECFMG’s $70 certification status report ($5 more on paper). After licensure come the $756 renewal every two years and the $888 DEA registration for three years.
Fees change; verified November 11, 2026.
How long it takes.
- About 8 to 12 weeksSubmission to license, board estimateThe board’s FAQ estimate from submitting the application, which it says varies and may run longer with an extensive work history or licenses held in many other states or countries; it processes applications in the order received.Board-published
- 2 to 4 weeksFingerprint processing, board averageThe board’s average processing time for the state and FBI criminal history check on your fingerprints, which runs through the Oregon State Police.Board-published
- 6 monthsLife of an incomplete applicationCounted from the date the application is first submitted with the fee, under a rule in effect since July 2, 2026 that cut the window from 12 months; the board grants no extensions, and an expired application takes a new application and fee.Board-published
Oregon law sets no deadline for the board to decide a physician application. The board’s FAQ puts the follow-up on the applicant: you request every item the file needs and chase any that does not arrive. Practice verifications dated more than three months before the board receives your application must be redone with current ones. No board guarantees a date.
What the file involves.
A traditional Oregon file moves between 8 core parties for an MD or a DO, with NBOME in place of FSMB for a DO, and 12 core document types, among them copies of your birth certificate and diploma, five years of practice verifications, the open-book Medical Practice Act exam, and registration once the file is complete. Every board that has licensed you in any health profession verifies directly, even where you never practiced or let the license lapse; each extra training program, practice site, or board adds a party, and international graduates add ECFMG. Expedited endorsement takes 6 core parties and 10 core document types, and the telemedicine license the same 8 parties as the traditional route. Every applicant accounts for all time since graduation.
- The Oregon Medical BoardReviews the application and your open-book exam, runs the NPDB, FSMB, and certification checks itself on expedited endorsement, and issues the license after registration.
- Your medical school (traditional route)Verifies your education and sends a dean’s letter, mailed directly in the school’s own envelope.
- Each training program (traditional route)Evaluates your overall performance and confirms your specialty and training dates.
- FSMB or NBOME (traditional route)Sends your USMLE or COMLEX-USA scores to the board from the source.
- Every practice site of the past five yearsVerifies your practice, employment, or staff membership there, with an evaluation and dates.
- Every board that has licensed you (traditional route)Verifies each license, in any health profession, even one you never used or let lapse.
- The board of your current or most recent practice (expedited endorsement)Verifies that license, the only license verification the route needs.
- The state that first licensed you (expedited endorsement)Is the board’s source for your education, training, and exam scores, unless current specialty certification stands in.
- FieldprintTakes your fingerprints, at locations nationwide.
- The Oregon State Police and the FBIRun the state and national criminal history checks on your fingerprints.
- Postgraduate training
- At least one year in one accredited program in the US or Canada, for graduates of approved US and Canadian schools, MD or DO. International graduates need three years of progressive training in no more than two specialties, or in its place current specialty certification or four years of practice under an Oregon medical faculty limited license or a similar license in another state, plus ECFMG certification, which the board may waive in listed cases such as Canadian training or specialty certification.
- Exams
- USMLE, COMLEX-USA, the LMCC, or an older exam the rule lists. All three steps or levels must be passed within seven years of passing the first, with exceptions you can request, such as current specialty certification. Step 3 or COMLEX-USA Level 3 must be passed within four attempts, with a year of added training after the third failure; current specialty certification can waive a pass that took more attempts. The board says USMLE Steps 1 and 2 have no attempt limit.
- Time away from training or practice
- The board may require SPEX (MDs) or COMVEX (DOs) if neither your postgraduate training nor a specialty certification or recertification falls within the past 10 years, or if you stopped practicing for 12 or more consecutive months just before applying. It can waive the exam, for example for ongoing maintenance of certification. After 24 or more consecutive months out of practice, it may require a re-entry plan, approved through a consent agreement before the plan starts.
- Board certification
- Not required for a full license. It opens waivers of the seven-year exam window, the Step 3 attempt rule, the international training and ECFMG requirements, and SPEX, can stand in for verification on expedited endorsement, and with ongoing maintenance of certification meets the CME rule.
We run the Oregon file.
We do
- Check your record against the expedited endorsement test and match your practice to the right status before the nonrefundable $375 is paid.
- Prepare the Oregon application, accounting for all your time since graduation, and check every answer against the board’s current rules before it goes in.
- Request and chase every verification your route needs, from your school, training programs, exam scores, and other boards to five years of practice sites, timing the practice verifications so none is more than three months old when the application arrives.
- Track the file against its six-month life, which the board does not extend, answer every board request, and follow it through registration until the license issues.
You do
- Share your credentials and license history once, in our secure portal.
- Approve your application answers and sign the attestations.
- Take the board’s open-book Medical Practice Act exam.
- Have your fingerprints taken at a Fieldprint location.
- Complete the free one-hour pain management course the board requires at initial licensure.
Staying licensed.
- Renewal cycle
- Every two years, by December 31 of odd-numbered years, with the current period ending December 31, 2027: $756 for Active, Locum Tenens, Telemedicine Active, and the other practicing statuses, including the $70 prescription monitoring and $8 workforce database fees. A late renewal adds a $195 fee, and the fee rule raises registration to $375 a year from March 1, 2028.
- CME
- Every two years, 60 hours of CME relevant to your current practice, AMA Category 1 or AOA Category 1-A or 2-A, or 30 if you were licensed in the second year of the period; ongoing ABMS or AOA-BOS maintenance of certification meets the rule instead, but lifetime certification without it does not. Cultural competency education of at least one hour a year counts toward the hours and is reported at least every other renewal. Separately, every licensee outside teleradiology and telemonitoring status completes the Pain Management Commission’s free one-hour online course at initial licensure and every 24 months, and a license lapses if it is not done before the registration fee is paid. An audit shortfall brings a $250 fine and 120 days to comply.
- State controlled-substance registration
- None. Oregon law exempts licensed practitioners from state controlled substance registration, and the board says your DEA registration is enough to prescribe. A physician who dispenses drugs must first register with the board as a dispensing physician.
- Prescription monitoring
- Registration with the Prescription Drug Monitoring Program, which the Oregon Health Authority runs, is required: the board says every Oregon-licensed physician with a DEA number at an Oregon address must register, and its rule gives new licensees 30 days from Oregon licensure or DEA registration, whichever is later. A $35-a-year prescription monitoring fee is collected with your license fees. Oregon sets no general duty to check the program before prescribing; the one mandate is Medicaid’s, for physicians enrolled as Oregon Health Plan providers, who check it before prescribing a Schedule II controlled substance, with exceptions such as hospice, palliative care, and cancer treatment.
- DEA registration
- $888 for three years, with a separate registration for Oregon, which needs only your Oregon license first.
- E-prescribing
- Not required. Oregon law allows written or electronic controlled substance prescriptions, and the board and the Board of Pharmacy say prescribers need not send them electronically.
- Reporting duties
- Report a change of residence, practice location, or mailing address within 30 days, a misdemeanor or felony conviction or a felony arrest within 10 days, and any official action taken against you within 10 business days.
Renewals, CME tracking, and DEA registrations are managed where included in your plan: physician licensing at NP Licensing.
Frequently asked questions
About 8 to 12 weeks from submission, the board estimates, though it says the time varies and may run longer with an extensive work history or licenses held in many other states or countries; it processes applications in the order received. Oregon law sets no deadline for the board to decide. Fingerprint checks average 2 to 4 weeks, and an application not completed within six months expires, with no extensions, so starting over takes a new application and fee.
$1,241 for an MD and $1,236 for a DO in published fees for a license issued in 2026: the $375 application fee, the $48 criminal background check, $748 in registration fees covering 2026 and 2027, and a $70 USMLE or $65 COMLEX-USA transcript. Expedited endorsement costs $1,171, without a transcript unless your first licensing state cannot supply your scores. For a license issued in 2027, the second year of the registration period, the board reduces the registration fees. Fieldprint’s own charge and verifications from your other boards come on top, and the license renews for $756 every two years.
No. Oregon has not joined the Interstate Medical Licensure Compact and has no compact law, and the legislature’s records show no compact bill in its 2025 or 2026 sessions; the last one, HB 2335, was left in committee in 2021. Every Oregon license is a direct application, even for physicians whose other licenses came through the compact, and an Oregon license cannot be your state of principal license. The board points physicians licensed elsewhere to expedited endorsement instead.
Yes, by expedited endorsement, if you hold a current license in another state or DC, practiced your specialty actively and without restriction for the year before applying or retired a year or less before, are in good standing everywhere with nothing pending, have had no privileges denied, restricted, or ended for practice or conduct reasons, and show no significant malpractice claim pattern. Your first licensing state must be able to verify your education, training, and exam scores, or the board may accept current ABMS or AOA-BOS certification instead. It cuts verification work, not fees: the same $375 application fee and registration fees apply, and staff decide after you apply whether you qualify.
Yes, outside narrow exceptions, because Oregon law says telemedicine is practiced where the patient is physically located. If you practice entirely outside Oregon, you can hold your Oregon license at Telemedicine Active status, which takes the full application and fees and rules out in-person practice and dispensing; the board’s November 2026 count showed 2,455 MD and 420 DO licenses at that status. Without an Oregon license, you may consult with an Oregon-licensed physician without taking on primary responsibility, treat an established patient who is in Oregon temporarily for business, education, vacation, or work, or give temporary or intermittent follow-up care to an established patient. Teleradiology for Oregon needs no Oregon license under the board’s rule.
No. The board accepts an FCVS profile in place of some of its documents, such as your diploma, school and training verifications, and exam transcripts, but does not require one, and a profile does not cover everything the board asks for. A first profile costs $395, transcripts included.
Both. Every applicant has fingerprints taken by Fieldprint, which serves applicants nationwide, for a state and FBI check through the Oregon State Police; the board charges $48 for the check, Fieldprint’s own charge is unpublished, and processing averages 2 to 4 weeks. Every applicant also passes an open-book exam on the Medical Practice Act and board rules, with no fee: 21 questions, repeated if you miss four or more, and after three failures an interview with a board member or staff before a fourth and final attempt.
Only if the board requires it, which it may when neither your postgraduate training nor a specialty certification or recertification falls within the past 10 years, or when you stopped practicing for 12 or more consecutive months just before applying. Waivers include ongoing maintenance of certification and, for the 10-year rule, 50 hours of board-approved CME a year for the past three years. SPEX costs $1,400, paid to FSMB, and COMVEX $750, paid to NBOME.
Barely. One board licenses both, on the same application and fee schedule, through the same routes and practice statuses. DOs send COMLEX-USA scores from NBOME, at $65, rather than USMLE scores from FSMB, at $70, face COMVEX rather than SPEX where a competence exam applies, and count AOA-BOS certification alongside ABMS.
Renewal every two years by December 31 of odd-numbered years, $756; 60 CME hours a cycle or ongoing maintenance of certification, plus a one-hour pain management course every 24 months and cultural competency education; registration with the Prescription Drug Monitoring Program if you hold a DEA number at an Oregon address; and a separate $888 DEA registration for Oregon. There is no state controlled substance registration and no e-prescribing mandate.
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Sources
Oregon Medical Board, MD, DO, and DPM licensing
Oregon Medical Board, application requirements and instructions
Oregon Medical Board, MD, DO, and DPM application checklist (June 2024)
Oregon Medical Board, eligibility
Oregon Medical Board, licensee renewal fees (effective July 2, 2026)
Oregon Medical Board, license statuses
Oregon Medical Board, expedited endorsement
Oregon Medical Board, telemedicine
Oregon Medical Board, Interstate Medical Licensure Compact and Oregon
Oregon Medical Board, fingerprint requirements
Oregon Medical Board, Medical Practice Act exam
Oregon Medical Board, Medical Practice Act open-book exam (August 2022)
Oregon Medical Board, application process FAQ
Oregon Medical Board, verifications and documents FAQ
Oregon Medical Board, questions often asked by licensees
Oregon Medical Board, renewals
Oregon Medical Board, continuing education
Oregon Medical Board, Prescription Drug Monitoring Program
Oregon Medical Board, electronic prescribing of controlled substances
Oregon Medical Board, License Totals Report (November 2026)
Oregon Revised Statutes, chapter 677, regulation of medicine
Oregon Revised Statutes, chapter 431A, prescription drug monitoring
Oregon Revised Statutes, chapter 475, controlled substances
Oregon Administrative Rules, 847-005, Oregon Medical Board fees
Oregon Administrative Rules, 847-008, registration, renewal, and continuing education
Oregon Administrative Rules, 847-010, limited licenses, reporting, and PDMP registration
Oregon Administrative Rules, 847-020, physician licensure
Oregon Administrative Rules, 847-025, practice of medicine across state lines
Oregon Administrative Rules, 847-026, expedited endorsement
Oregon Administrative Rules, 410-120, Medicaid provider rules and the PDMP check
Oregon Legislature, HB 2335 (2021), Interstate Medical Licensure Compact
Oregon Legislature, 2025 regular session bills
Oregon Legislature, 2026 regular session bills
Oregon Health Authority, PDMP information for health care providers
Interstate Medical Licensure Compact Commission, home page and member map
Interstate Medical Licensure Compact Commission, what it costs
Interstate Medical Licensure Compact Commission, information for physicians
FSMB, FCVS participating boards for physicians
FSMB, Uniform Application participating boards
NBOME, frequently asked questions and transcript fee
NBOME, COMVEX registration and fee
National Practitioner Data Bank, self-query fees
DEA, practitioner registration fee, 21 CFR 1301.13
. Reviewed by the NP Licensing licensing team. Report a correction
This guide is informational only, not legal advice. Fees and timelines change; the verified date and sources are on this page.
