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EMT / Paramedic
Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
Yes
NREMT Required?
120-150
EMT Training Hours
4 levels
Certification Levels
$214
EMT Initial Cost
2 years (EMRs renew every even year; EMT/AEMT/EMT-I/Paramedics renew every odd year)
Renewal Period
36 hrs
EMT CE Hours
Training Hours
60 hours
Scope of Practice
Basic emergency care including CPR, AED, bleeding control, splinting, and oxygen administration
NREMT Required
No
Additional Requirements
Training Hours
120-150 hours
Scope of Practice
BLS care including patient assessment, airway management, oxygen therapy, splinting, spinal immobilization, assisted medication administration, and basic trauma care
NREMT Required
Yes
Training Hours
350 hours
Scope of Practice
EMT scope plus IV access, IO access, basic cardiac monitoring, and limited medication administration
NREMT Required
Yes
Training Hours
1,200 hours
Scope of Practice
Full ALS scope including advanced airway management, cardiac monitoring and 12-lead ECG interpretation, cardioversion, defibrillation, external pacing, extensive medication administration, IV/IO access, and needle decompression
NREMT Required
Yes
Additional Requirements
Training Program Requirements
Verified120-150
EMT Training Hours
1,200
Paramedic Hours
Notes
Oregon has 5 provider levels including a unique EMT-Intermediate level (in addition to standard EMR, EMT, AEMT, and Paramedic). NREMT is not required for EMR or EMT-Intermediate levels. No more than 50% of CE hours may come from self-study.
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Exam Requirements
VerifiedRequired
NREMT Certification
Required
Cognitive Exam
Required
Psychomotor Exam
No
State-Specific Exam
NREMT Details
NREMT required for initial EMT, AEMT, and Paramedic. NOT required for EMR or EMT-Intermediate. Renewal accepts NREMT recertification OR state CE hours. Cognitive exam: CAT format, 70-120 questions for EMT, 2-hour limit, $104/attempt. Passing score 950/1500. 6 attempts allowed, 15-day wait between attempts, 24-hr remedial training after 3rd failure.
State Exam Details
No state-specific exam. NREMT cognitive and/or psychomotor exam required for certification.
Passing Score
NREMT scaled score 950/1500
Retake Policy
6 attempts allowed. 15-day wait between attempts. 24-hour remedial training required after 3rd failure.
Didn't pass on the first try? Learn what to do if you fail the NREMT.
Overall licensing difficulty: 1/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
Practice with realistic exam questions
NREMT (EMT Certification Exam)
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EMT Exam Prep Books
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Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
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NREMT Cognitive Exam
Questions
120 questions
Time Limit
2 hours
Passing Score
NREMT scaled score 950/1500
Format
Computer adaptive testing (CAT)
Cost of failing
Retake fee: $80Invest in preparation to pass the first time.
How long should you study? Most candidates study 2–4 weeks before taking the NREMT Cognitive Exam.
Study Materials & Exam Prep — NREMT Certification Exam
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Study guides and practice tests for the NREMT certification exam.
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What Each Level Can Do
VerifiedOnline Medical Direction (Real-Time)
Required; EMS providers must operate under medical direction from a licensed physician
Offline Medical Direction (Standing Orders)
Standing orders and protocols provided by agency medical director
Protocol Requirements
Must follow agency medical director's protocols; community paramedicine legislation allows expanded scope; wilderness/wildfire EMS protocols available
Minimum Age
Education
Background Check
Drug Screening
CPR/BLS Certification
Immunizations Required
Driver's License Required
Not sure if you need a emt license? Check whether your state requires one.
| Fee | Amount |
|---|---|
NREMT Exam Fee NREMT EMT cognitive exam fee (increased from $70 in 2025) | $80 |
State Application Fee Initial EMT license fee $110. EMR $45, AEMT $125, EMT-I $125, Paramedic $290. Reciprocity: EMR $50, EMT $140, AEMT $165, EMT-I $165, Paramedic $300. Late fee $40. Provisional $50. | $50 |
Renewal Fee EMT renewal $55. EMR $23, AEMT $85, EMT-I $85, Paramedic $150. | 55 |
Total Initial EMT Cost Approximate: $110 state application + $104 NREMT exam (excludes course tuition and fingerprint fees) | $214 |
Total Initial Paramedic Cost Approximate: $290 state application + $104 NREMT exam (excludes course tuition and fingerprint fees) | $394 |
Use our licensing cost calculator to estimate your total investment including education and exam fees.
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Renewal & CE Requirements
Verified2 years (EMRs renew every even year; EMT/AEMT/EMT-I/Paramedics renew every odd year)
Renewal Period
36 hrs
EMT CE Hours
60 hrs
Paramedic CE Hours
Required
Skills Verification
NREMT Recertification Accepted for State Renewal
CE Topics
Renewal Fee
$50
EMT renewal $55. EMR $23, AEMT $85, EMT-I $85, Paramedic $150.
Regulatory Board
EMS certifications must be renewed on schedule. Most states require continuing education covering patient assessment, trauma care, cardiac emergencies, and applicable protocol updates.
For a deeper dive into CE requirements and deadlines, see our emt license renewal guide.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State Credentials
NREMT-Based Reciprocity Available
Reciprocity Type
NREMT-based; NOT an EMS Compact member state
Transfer Details
Oregon is not an EMS Compact member. Out-of-state applicants must hold current NREMT certification and complete FBI fingerprint-based background check via Fieldprint. Paramedic reciprocity requires either an associate degree or 2 years of active employment as a paramedic. Reciprocity fees: EMR $50, EMT $140, AEMT $165, EMT-I $165, Paramedic $300.
Additional Requirements for Transfer
EMT/Paramedic reciprocity is often facilitated through NREMT certification. States that require NREMT typically allow easier transfer for certified providers. Always verify current reciprocity policies with your state EMS office.
See all EMS Compact (REPLICA) member states & eligibility details →
Moving to another state? Use our Transfer Tool to see what you need →
Compare Oregon with other states →
See how requirements, costs, and timelines differ across all 50 states.
5 provider levels including unique EMT-Intermediate; Paramedic reciprocity requires associate degree or 2 years active employment; 'Transitional Paramedic' license (since Dec 2023); staggered even/odd year renewals; no more than 50% CE from self-study; community paramedicine legislation; wilderness/wildfire EMS protocols
Oregon has 5 provider levels including a unique EMT-Intermediate level
NREMT is NOT required for EMR or EMT-Intermediate levels
FBI fingerprint-based background check required since January 2018 via Fieldprint
Criminal history check also required for renewals
Staggered renewal schedule: EMR expires June 30 even years; EMT/AEMT/EMT-I/Paramedic expire June 30 odd years
No more than 50% of CE hours may come from self-study
Paramedic reciprocity requires associate degree or 2 years active employment
'Transitional Paramedic' license available since December 2023
Community paramedicine legislation enables expanded scope of practice
Wilderness and wildfire EMS protocols available
Contact via eLicense portal (no published phone number)
Oregon is NOT an EMS Compact member state.
Emergency Medical Responders renew every EVEN year; EMT, AEMT, EMT-I and Paramedics renew every ODD year. Renewal window: April 1–June 30.
EMT requirements in nearby states
| State | Total Cost | |
|---|---|---|
| Oregon (you) | $214 | |
| California | $1,000-$3,500 (program) + $104 (NREMT) + $37 (EMSA) + ~$80 (Live Scan) + LEMSA fees | → |
| Idaho | $0 (license) + $104 (NREMT exam) + background check fee + course tuition | → |
| Nevada | $1,000 (program) + $104 (NREMT exam) + $37 (certificate) + $61 (attendant license) | → |
| Washington | Course + $104 (NREMT) + $0 (state fees) + possible background check | → |
Other professional licenses in Oregon
See how Oregon compares: EMT License Fees by State — Cheapest to Most Expensive →
Oregon is not currently a member of the EMS Compact (REPLICA). EMT licensees must apply through standard reciprocity or endorsement. See which states are in the REPLICA →
Related Guides
Explore requirements for other professional licenses in Oregon.
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EMT requirements in Oregon verified against Oregon Health Authority, EMS & Trauma Systems, March 2026.
Moving to Oregon? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your EMT license to Oregon →
Transfer your EMT license from Oregon to: California → | Idaho → | Nevada → | Washington →
Oregon requires NREMT certification for EMS providers. EMT training requires 120-150 hours. All certification is managed through the Oregon Health Authority, EMS & Trauma Systems.
Requirements vary by state and local jurisdiction. Always verify current requirements with your state EMS office.
EMT Schools in Oregon
Compare approved training programs, costs, and requirements.