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Healthcare Recruiting

Oregon PA License 2026: Physician Assistant Requirements, OTP Authority, and Salary

AH
Ava Health Team
··8 min read

Oregon physician assistants benefit from Optimal Team Practice (OTP) authority — no mandatory supervision agreement needs to be filed with the state. Licensing runs through the Oregon Medical Board (OBME), with a standard 6–8 week processing window. Portland's large integrated health systems and the state's shortage of rural primary care providers create strong PA demand across specialties.

Practice Model: Optimal Team Practice (OTP)

  • No supervision agreement required to be filed with OBME
  • Collaboration terms are determined at the practice level
  • PAs may prescribe Schedule II–V controlled substances with DEA registration
  • OBME licenses both MDs and PAs — same portal

Application Requirements

  • Active NCCPA certification
  • Accredited PA program graduation verification
  • Background check via OBME
  • Application fee ~$295
  • Oregon prescriptive authority included in PA license (no separate state application)

Processing Timeline

6–8 weeks typical; total with DEA approximately 8 weeks.

PA Salary in Oregon (2026)

SettingMedian BaseTypical Sign-On
Hospital / Inpatient (Portland)$128,000$8,000–$18,000
Surgical First-Assist$138,000$10,000–$20,000
Primary Care / FQHC (rural)$115,000$8,000–$15,000 + loan repayment
Outpatient Specialty$122,000$5,000–$15,000

Top PA Employers in Oregon

OHSU Health (Portland academic flagship), Providence Health & Services Oregon, PeaceHealth (Eugene/Springfield), and Salem Health are the largest systems. Rural Oregon — particularly eastern counties and the coast — carry HPSA designations with NHSC loan repayment eligibility up to $50,000.

What We See at Ava Health

Oregon's OTP model and no-state-income-tax border proximity (Clark County, WA) make it attractive for PAs. Portland's cost of living is elevated but compensation reflects it. Rural eastern Oregon and the coast have persistent PA shortages with strong sign-on packages and loan repayment stacking.

Related: NP License Oregon 2026, PA Salary by State 2026, Healthcare Recruiting in Oregon 2026.

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