Paramedic requirements by state / OR

Paramedic requirements in Oregon.

What it takes to certify, renew, and transfer a Paramedic credential in Oregon — plus the official Oregon Health Authority, EMS & Trauma Systems link so you can confirm every detail before you apply.

Verify first

State rules, fees, and forms change. Treat this page as orientation, then confirm with the Oregon Health Authority, EMS & Trauma Systems. Pass the EMT is not a licensing authority.

Oregon Paramedic certification at a glance

NREMT required?Yes
Approximate program length1,000–1,800 hours, often as a 1–2 year college program
PrerequisitesYou'll generally need a current EMT certification, prerequisite coursework, and acceptance into a CAAHEP/CoAEMSP-accredited paramedic program.
Recertification cycle2 years
Psychomotor (skills) examNREMT or Oregon EMS-approved site
Reciprocity / transferring inNREMT + Oregon EMS application
EMS Compact (REPLICA) memberNot listed as a member

How to become a Paramedic in Oregon

  1. 1. Meet the prerequisites. You'll generally need a current EMT certification, prerequisite coursework, and acceptance into a CAAHEP/CoAEMSP-accredited paramedic program.
  2. 2. Finish an approved program. Expect roughly 1,000–1,800 hours, often as a 1–2 year college program of lecture, lab, and field/clinical time at a Oregon-approved training center.
  3. 3. Pass the cognitive exam. Sit the NREMT computer-adaptive Paramedic cognitive exam at a Pearson VUE test center.
  4. 4. Pass the skills exam. NREMT or Oregon EMS-approved site.
  5. 5. Apply for state certification. Submit your application to the Oregon Health Authority, EMS & Trauma Systems, then recertify every 2 years.

Paramedic scope of practice in Oregon

A Paramedic in Oregon typically works with advanced airway management including intubation, 12-lead ECG interpretation, manual defibrillation and cardioversion, needle decompression, and a full ALS drug box. Your exact scope is set by Oregon EMS rules and your agency's medical director, so protocols vary between services — always practice to your local protocol.

Paramedic medication list →

Transferring a Paramedic card into Oregon

NREMT + Oregon EMS application.

Oregon is not currently listed as an EMS Compact member, so plan on a full reciprocity application rather than a compact privilege to practice.

Oregon requires NREMT certification for state licensure and reciprocity.

Official Oregon Health Authority, EMS & Trauma Systems

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NREMT® is a registered trademark of the National Registry of Emergency Medical Technicians. Pass the EMT is an independent study aid and is not affiliated with, endorsed by, or sponsored by NREMT. Data compiled from public Oregon EMS resources and subject to change.