West

Oregon

State EMS office Oregon Health Authority, Emergency Medical Services and Trauma Systems Program

Licensure levels recognized EMR, EMT, AEMT, EMT-Intermediate and Paramedic.

NREMT required for initial licensure National Registry certification is required at the level applied for at EMT, AEMT and Paramedic. It is not required for EMR or EMT-Intermediate. A paramedic applying for an initial license also shows an associate degree or higher, or active employment as a paramedic for two of the past five years.

Reciprocity / legal recognition An EMT, AEMT or transitional paramedic applying by reciprocity shows a high school diploma or equivalent. A paramedic shows an associate degree or higher, or employment at the National Registry paramedic level for two of the past five years.

Renewal cycle Two years. EMR licenses expire on 30 June of even-numbered years; EMT, AEMT, EMT-Intermediate and Paramedic licenses on 30 June of odd-numbered years.

Continuing education model Continuing education is completed during the two-year cycle, and records are kept for two cycles — four years.

Visit state EMS office

Always confirm requirements with the state office directly.

Preparing for the exam

Our NREMT courses cover each certification level, and FP-C and CCT preparation covers critical care transport.

EMT

AEMT

Paramedic

See all states in the EMS licensing directory →

Find your state

All 51 jurisdictions

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Certification and licensure are not the same thing

National Registry certification

Passing the NREMT cognitive and psychomotor exams earns you national certification. It is what most states use as the entry standard, but it is not a license to practice on its own.

State license

Your state EMS office issues the credential that actually lets you work. Each state sets its own application process, background requirements, fees, and scope of practice.

Reciprocity

Moving states usually means applying for legal recognition of your existing certification rather than starting over. What transfers automatically varies, and this is where candidates most often get stuck.

This directory is provided for reference only. State requirements change, and the state EMS office is always the authoritative source. Prehospital Prep is not affiliated with, endorsed, or sponsored by the NREMT, the IBSC, or any state licensing agency.

Certification comes first. Start there.

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