Oregon Administrative Rules
Chapter 847 - OREGON MEDICAL BOARD
Division 20 - RULES FOR LICENSURE TO PRACTICE MEDICINE IN OREGON
Section 847-020-0150 - Documents and Forms to be Submitted for Licensure

(1) Application: Completed formal application provided by the Board. Required dates must include month, day and year.

(2) Birth Certificate: A copy of birth certificate.

(3) Medical School Diploma: A copy of a diploma showing graduation from an approved school of medicine or an international school of medicine.

(4) American Specialty Board Certificate or Recertification Certificate: A copy of the certificate issued by the American Specialty Board in the applicant's specialty, if applicable.

(5) Photograph: A close-up, color, passport quality photograph, front view, head and shoulders (not profile), with features distinct, taken within 90 days preceding the filing of the application.

(6) The results of a Practitioner Self-Query from the National Practitioner Data Bank, if requested by the Board.

(7) The results of a Physician Data Center Query from the Federation of State Medical Boards, if requested by the Board.

(8) Legible fingerprints as described in 847-008-0068 for the purpose of a criminal records background check.

(9) An open-book examination on the Medical Practice Act (ORS chapter 677) and Oregon Administrative Rules chapter 847. If an applicant fails the examination three times, the applicant must attend an informal meeting with a Board member, the Executive Director, a Board investigator and/or the Medical Director of the Board to discuss the applicant's failure of the examination, before being given a fourth and final attempt to pass the examination. If the applicant does not pass the examination on the fourth attempt, the applicant may be denied licensure.

(10) Any other documentation or explanatory statements as required by the Board.