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How to become a certified EMT or Paramedic in Oregon. NREMT certification required. EMT training: 120-150 hours. Total initial EMT cost: $214. Verified 2026-03-21. Data verified 2026-03-21. Source: LicenseMap (getlicensemap.com).
EMT / Paramedic
Some information on this page has not been fully verified.
59% of data points are verified against official sources. 20 fields based on preliminary research. 5 fields need verification. We recommend confirming details with your state's licensing authority. See sources below · Report incorrect data
Yes
NREMT Required?
120-150
EMT Training Hours
4 levels
Certification Levels
$214
EMT Initial Cost
2 years
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.
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.
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
| 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 |
Renewal & CE Requirements
Verified2 years
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.
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.
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.
Explore requirements for other professional licenses in Oregon.
How this state compares to 50 others for this profession
Salary
#6 of 51
Cost
#28 of 51
Processing
#1 of 51
Based on May 2024 Bureau of Labor Statistics OEWS data for Emergency Medical Technicians (SOC 29-2042)
Entry Level
$40,180
25th percentile
Median
$48,070
+16% vs. national avg ($41,340)Experienced
$54,550
75th percentile
Wage Distribution (Annual)
1,760 employed in this state
Note: BLS EMT category includes EMT-Basic level. Paramedics (EMT-P) are classified separately under SOC 29-2043 with higher wages.
Source: BLS OEWS – Emergency Medical Technicians (May 2024)
National employment projections for 2024-2034
Projected Growth
+8.8%
High DemandNew Jobs
+12,900
over 10 years
Annual Openings
19,600
per year (avg.)
147,300 currently employed nationwide (2024)
Source: BLS Employment Projections 2024-2034 (September 2025)
Emergency Medicine Career Ladder+210% salary growth potential
You are here
EMT
$48,070
EMT-Basic course (120-150 hours) + NREMT
You are here
EMT
EMT-Basic course (120-150 hours) + NREMT
$48,070
Paramedic program (1-2 years) + NREMT-P
$73,380
Master's in PA Studies + PANCE
$149,130
Salary data from BLS OEWS May 2024 for this state. Career paths represent common advancement routes — actual progression may vary. Bureau of Labor Statistics — Occupational Outlook Handbook
Government fees and exam costs to obtain your initial license
Note: These are government licensing fees only. Education/training program costs (tuition, books, etc.) are not included as they vary widely by institution.
Estimated total: ~null weeks
Timeline estimated from licensing requirements on this page.
Source: Oregon Health Authority, EMS & Trauma Systems — Licensing Requirements
2–6 weeks
Estimated processing time
Source: Oregon Health Authority, EMS & Trauma Systems — Licensing Requirements
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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.