Physician duties · NP · Oregon
Signing for a Nurse Practitioner in Oregon: what the physician takes on
No agreement is required, so the terms are whatever you both negotiate. Nurse Practitioners practice independently in Oregon, so any agreement is voluntary.
OAR 851-050-0005(5): NPs are 'independently responsible and accountable' for managing patient care. No collaborating/supervising physician, written agreement, or experience threshold is required by ORS 678 or OAR 851 division 50 — Oregon has recognized independent NP practice since 1979.
What you take on as the physician
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
No proximity requirement
No physician availability/proximity standard is codified for NP practice — consistent with full independent-practice status.
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · controlled substances permitted
Prescriptive authority requires Board approval/registration but is not gated by any physician agreement.
Written agreement
Not required
Unconditional — no Oregon statute or Board of Nursing rule conditions NP practice on a physician agreement, at any experience level.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional corporation under ORS 58.376 — NPs may jointly hold all voting shares/board seats with physicians and PAs, or wholly own an NP-only professional corporation; no physician ownership is required.
ORS 58.376(3)-(4) bars a non-licensee, or a licensee acting outside their own scope, from directing or controlling another licensee's professional judgment.
Legal sources for these rules (5)
- ORS 678.010 — Definitions (nurse practitioner, clinical nurse specialist, CRNA)secondary
- ORS 678.390 — Board authorization of prescriptive authoritysecondary
- OAR 851-050-0005 — Nurse Practitioner Scope of Practicesecondary
- OAR 851-050-0004 — Nurse Practitioner Practice Requirements (hours-based licensure renewal/re-entry pathways; no physician-collaboration language)secondary
- ORS 58.376 — Professional corporations: physician/PA/NP joint ownershipsecondary
What physicians charge for this role
Typical monthly compensation in Oregon
$500 – $600
Estimate for one Nurse Practitioner. Standard-tier state.
About Oregon's rules
Oregon has no physician-supervision requirement for NP/CNS/CRNA and replaced PA 'supervision' with a non-supervisory 'collaboration agreement' (ORS 677.495-677.525, recodified by H.B. 4010, eff. June 6, 2024). CNM and PMHNP are population foci under the single NP license (OAR 851-050-0005), not separate license categories. CRNA/CNS entity co-ownership with physicians is unconfirmed — ORS 58.376 names only physicians, PAs, and NPs.
Other clinicians in Oregon: see the state overview.