Residency required for a full Oregon license
U.S. & Canadian graduates
That is the shortest minimum in the country, shared with 29 other jurisdictions.
International medical graduates
30 jurisdictions have a shorter minimum, and 20 others set the same one.
Oregon requires at least 1 year of accredited postgraduate training (ACGME or AOA) for graduates of U.S. and Canadian medical schools before a full, unrestricted license. Oregon requires at least 3 years of accredited postgraduate training (ACGME or AOA) for international medical graduates (IMGs) before a full, unrestricted license. A full license is not the same as finishing residency: specialty board certification through ABMS member boards or the ABPS, and most attending jobs, still require a completed ACGME-accredited program.
International medical graduates in Oregon
Oregon is one of the states that has enacted an alternative licensure pathway for experienced internationally trained physicians. These laws usually require an unrestricted license from another country, several years of recent practice, ECFMG certification or passing USMLE Steps 1 and 2, and a job offer from an in-state employer. Physicians start on a provisional or limited license under supervision and can later qualify for a full license. Many boards are still writing rules, so ask the Oregon board whether applications are open.
See ECFMG certification and J-1 waivers and Conrad 30 for the steps before residency.
Physician demand in Oregon
Oregon has 311.2 active physicians per 100,000 residents, ranking 38 of 50 where 1 has the fewest physicians per capita. The state median is 272.0. Supply is above the median, so competition for jobs in metro areas can be stronger, though rural areas may still be short.
Physician jobs and salary in Oregon
Average physician pay
Ranks 18 of 51, above the median state average of $268,510.
Federal data count 169 primary-care physicians needed to remove every primary-care shortage designation in Oregon, where 51.3% of the need is currently met (HRSA via KFF, December 31, 2025). Shortage areas qualify for National Health Service Corps loan repayment and, for IMGs, Conrad 30 J-1 waiver positions. Search openings on HRSA's Health Workforce Connector or through 3RNet.
How to apply for a Oregon medical license
- Complete the training minimum above and pass USMLE Steps 1–3 (or COMLEX Levels 1–3).
- Build a credentials file with the FSMB Federation Credentials Verification Service (FCVS), which many boards accept or require.
- Submit the Oregon application with transcripts, exam scores, training verification from your program director and fingerprints for a background check.
- If you'll practice in several states, check whether the Interstate Medical Licensure Compact can speed up extra licenses.
- Once licensed, register for a DEA number and any state controlled-substance registration.
Current forms, fees and processing times are on the Oregon Medical Board website.
Oregon medical license FAQ
How many years of residency do you need for a medical license in Oregon?
Oregon requires at least 1 year of accredited postgraduate training (ACGME or AOA) for graduates of U.S. and Canadian medical schools before a full, unrestricted license. Oregon requires at least 3 years of accredited postgraduate training (ACGME or AOA) for international medical graduates (IMGs) before a full, unrestricted license.
Can international medical graduates get licensed in Oregon?
Yes. IMGs can follow the standard route (ECFMG certification, U.S. residency, then 3 years of training), and Oregon has also enacted an alternative licensure pathway for experienced internationally trained physicians, usually requiring an in-state job offer and a supervised provisional period.
Is there a shortage of doctors in Oregon?
Oregon has 311.2 active physicians per 100,000 residents, ranking 38 of 50 (1 = fewest physicians per capita). That is above the state median of 272.0.
How much do physicians make in Oregon?
The average annual wage for physicians in Oregon was $288,930 in BLS May 2023 OEWS data. Pay varies widely by specialty and setting.
Which exams do I need for a Oregon medical license?
MD graduates and IMGs need USMLE Step 1, Step 2 CK and Step 3; DO graduates may use COMLEX-USA Levels 1–3. Like most boards, Oregon may limit the number of attempts and the time allowed to pass all Steps, so confirm the current rule with the board.
Compare nearby states
Figures are for allopathic (MD) boards from FSMB tables and enacted legislation, re-checked monthly. Osteopathic boards may differ, and waivers exist. Confirm every requirement with the Oregon medical board before making training or job decisions.