Reciprocity guide for Texas → Oregon · Oregon EMS & Trauma Systems
Application Fee
$140
Background Check
Varies
NREMT Verification
No charge
Est. Total Cost
Varies
Background check vendor: Oregon fingerprint background check (per OHA). Exam waiver: None — NREMT accepted; proof of NREMT required for paramedic reciprocity.
Confirm your level and its reciprocity fee
Oregon charges $50.00 for EMR, $140.00 for EMT, and $165.00 for AEMT licensure by reciprocity. Transitional paramedic reciprocity is $350.00 — by far the most expensive.
Gather proof of NREMT or your home license
Oregon licensure by reciprocity requires verification of your current certification. Paramedic applicants must submit proof of NREMT.
Expect additional paramedic requirements
Oregon's administrative rules impose extra requirements on paramedic reciprocity applicants beyond the standard documentation. Review the rules before filing.
Submit the application with the fee
File with the Oregon Health Authority EMS program and pay the fee for your level.
Await licensure
Track your application with the Oregon Health Authority.
To transfer your Texas EMT license to Oregon, follow these steps: 1. Confirm your level and its reciprocity fee 2. Gather proof of NREMT or your home license 3. Expect additional paramedic requirements 4. Submit the application with the fee 5. Await licensure The Oregon EMS & Trauma Systems oversees the process, which typically takes 4–8 Weeks.
Not directly. Oregon does not accept NREMT alone — you may need to complete a state-specific exam, additional continuing education, or a refresher course. Contact Oregon EMS & Trauma Systems to confirm the pathway.
EMT reciprocity in Oregon typically takes 4–8 Weeks after Oregon EMS & Trauma Systems receives your complete application, background check results, and NREMT verification.
Oregon does not publish a fixed total for this route, so the cost varies. Confirm the current state application fee (currently $140) and the fingerprint background check cost with Oregon EMS & Trauma Systems before you apply.
Generally no. You must hold an active Oregon certification or a valid compact privilege before practicing. Some employers may offer a non-clinical role during processing, but you cannot provide patient care until Oregon EMS & Trauma Systems issues your certification.
Requirements, fees, and timelines are estimates for planning. Always confirm directly with Oregon EMS & Trauma Systems before applying.
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