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Naturopathic Doctor — ND/NMD
Total cost: Contact OBNM for current total fees
3 sources cited · Last verified March 2026 · Every number on this page links to its official source
Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
Yes
License Required
Yes
NPLEX Required
Yes
Prescriptive Auth.
Yes
Minor Surgery
25 hrs
CE Hours
Contact OBNM for current total fees
Total Initial Fees
CNME-Accredited Program & Degree
VerifiedCNME Program
Required
Program Length
4 years
Degree Level
Doctor of Naturopathic Medicine from a CNME-accredited naturopathic medical program
Accredited Schools
Must graduate from a CNME-accredited naturopathic medical program. National University of Natural Medicine (NUNM) is located in Portland, Oregon.
Naturopathic doctors must complete a 4-year post-graduate doctoral program from a CNME-accredited (Council on Naturopathic Medical Education) naturopathic medical school. The program includes approximately 4,100 hours of classroom and clinical training covering biomedical sciences, clinical sciences, botanical medicine, nutrition, physical medicine, homeopathy, pharmacology, and supervised clinical rotations. There are currently 7 CNME-accredited programs in the United States and Canada.
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NPLEX & State Examinations
VerifiedNPLEX Examination Required
Naturopathic Physicians Licensing Examinations
NPLEX Parts
NPLEX Part I (Biomedical Sciences) and Part II (Clinical Sciences)
Jurisprudence Exam
State Jurisprudence Exam Required
Oregon requires a state-specific jurisprudence examination on naturopathic medicine laws, regulations, and ethics
Additional Requirements
The NPLEX (Naturopathic Physicians Licensing Examinations) consists of two parts: Part I covers biomedical sciences (anatomy, physiology, biochemistry, microbiology, pathology, and pharmacology) and Part II covers clinical sciences (diagnosis, botanical medicine, nutrition, physical medicine, homeopathy, counseling, minor surgery, pharmacology, and emergency medicine). All licensing states require passage of both parts. Some states additionally require a state-specific jurisprudence examination.
Overall licensing difficulty: 48/100
Study recommendation: Most candidates study 2–4 weeks
Practice with realistic exam questions
NPLEX (Naturopathic Physicians Licensing Exam)
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Naturopathic Medicine Exam Prep
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Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
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State Licensing Requirements
VerifiedState License/Registration Required
State License Title
Naturopathic Physician
Additional Notes
Oregon has one of the oldest naturopathic licensing laws in the U.S. (since 1927).
Approximately 25 states plus the District of Columbia license or register naturopathic doctors. States without licensure include Alabama, Arkansas, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, West Virginia, and Wyoming. Only graduates of CNME-accredited programs qualify for state licensure.
Practice Scope & Authority
VerifiedPrescriptive Authority
Yes
Minor Surgery
Yes
Natural Childbirth
Yes
IV Therapy
Yes
Scope Details
Oregon has one of the broadest and oldest naturopathic licensing laws (since 1927). NDs have prescriptive authority including some controlled substances with DEA registration, minor surgery, natural childbirth attendance, IV therapy, acupuncture, and primary care provider status. Oregon NDs are recognized as primary care providers and may practice the full scope of naturopathic medicine.
Naturopathic doctor scope of practice varies enormously by state. States with the broadest scope (Oregon, Washington, Arizona, Vermont, Montana) allow prescriptive authority including some controlled substances, minor surgery, natural childbirth attendance, and IV therapy. Other states have more limited scope covering diagnostic testing, nutritional counseling, botanical medicine, and physical medicine only. In unlicensed states, naturopathic practice may be unregulated or prohibited.
Prescriptive & Procedural Authority
VerifiedPrescriptive Authority Granted
NDs may prescribe medications from an approved formulary
Minor Surgery
Authorized
Natural Childbirth
Authorized
IV Therapy
Authorized
Prescriptive authority for naturopathic doctors varies significantly by state. States with the broadest authority (Oregon, Washington, Arizona, Vermont, Montana) allow NDs to prescribe most non-controlled substances and some controlled substances with DEA registration. Other states limit NDs to a defined formulary of natural and synthetic substances. DEA registration may be available in states with prescriptive authority for controlled substances. Always verify current prescriptive authority with the state licensing board.
| Fee | Amount |
|---|---|
Application Fee | Contact OBNM for current application fee |
License Fee | Contact OBNM for current license fee |
Renewal Fee | $350 (active); $140 (inactive); $15 (retired) |
Total Initial Fees Fees established by the Oregon Board of Naturopathic Medicine | Contact OBNM for current total fees |
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Renewal & CE Requirements
VerifiedAnnual; renewal window is November 1 – December 31, due by Dec. 31 at 11:59pm
Renewal Period
25 hrs
CE Hours Required
$350 (active); $140 (inactive); $15 (retired)
Renewal Fee
CE Details
25 hours of approved continuing education per calendar year; must include 2 hours in medical ethics, suicide intervention/prevention, or cultural competency; pain management education required (completed within renewal period or previous 36 months); $35 PDMP fee and $2 Oregon Workforce Database fee also due annually
Regulatory Board
Naturopathic doctor licenses must be renewed on schedule with the state licensing authority. Most licensing states require 20-40 continuing education hours per renewal cycle in naturopathic medicine, pharmacology, clinical sciences, diagnostic techniques, botanical medicine, nutrition, and related professional topics. Some states require specific CE hours in pharmacology for NDs with prescriptive authority.
Out-of-State Reciprocity
VerifiedEndorsement Available
Yes
Comity Available
No
Reciprocity Requirements
Most states that license naturopathic doctors offer reciprocity or endorsement for licensed NDs from other states. Requirements typically include verification of current ND licensure in good standing, graduation from a CNME-accredited program, passage of NPLEX Parts I and II, and completion of a background check. Some states may require a state-specific jurisprudence exam. Scope of practice may differ between states.
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Oregon enacted its first naturopathic licensing law in 1927, making it one of the oldest in the nation. The Oregon Board of Naturopathic Medicine is a standalone board. Annual renewal includes a $35 PDMP (Prescription Drug Monitoring Program) fee and a $2 Oregon Workforce Database fee in addition to the license renewal fee. Pain management CE must be completed within the renewal period or previous 36 months.
Oregon has one of the oldest naturopathic licensing laws in the U.S. (since 1927).
Annual renewal: $350 active, $140 inactive, $15 retired; plus $35 PDMP and $2 workforce database fees.
25 CE hours per year with specific requirements for ethics, suicide prevention, and pain management.
Oregon NDs are recognized as primary care providers.
State jurisprudence exam required.
National University of Natural Medicine (NUNM) is located in Portland.
Broad scope: prescriptive authority, minor surgery, natural childbirth, IV therapy, acupuncture.
Naturopathic Doctor requirements in nearby states
| State | Total Cost | Timeline | |
|---|---|---|---|
| Oregon (you) | — | 420–440 wks | |
| California | $941-$1,400 | 420–440 wks | → |
| Idaho | — | 420–440 wks | → |
| Nevada | — | 420–440 wks | → |
| Washington | $386 | 420–440 wks | → |
See how Oregon compares: Naturopathic Doctor License Fees by State — Cheapest to Most Expensive →
Compare naturopathic doctor requirements across all states →
Naturopathic Doctor licensing requirements nationwide →
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Explore requirements for other professional licenses in Oregon.
Naturopathic Doctor Schools in Oregon
Compare approved training programs, costs, and requirements.
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Transfer your Naturopathic Doctor license from Oregon to: California → | Idaho → | Nevada → | Washington →
Oregon licenses/registers naturopathic doctors. Prescriptive authority is granted. NPLEX Parts I and II are required. All licensing is managed through the Oregon Board of Naturopathic Medicine.
Requirements vary by state. Always verify current requirements with your state licensing authority.