850-040-0210
Active and Inactive Licensee Annual Mandatory Continuing Education Requirements, Continuing Education Criteria per Subject Area

(1) Active License Annual Mandatory Continuing Education Requirements: active licensees must annually submit certificates of completion for a total of thirty-two (32) hours of approved continuing education (CE) as follows:

(a) Ten (10) hours of pharmacology

(b) Two (2) hours of either: professional ethics, boundaries and communication, or suicide intervention and prevention

(c) One (1) hour of cultural competency education every even number calendar year

(d) One (1) credit hour of pain management every odd number calendar year

(e) Remaining hours may be fulfilled through general education

(2) Inactive License Annual Mandatory Continuing Education Requirements: inactive licensees must annually submit certificates of completion for a total of ten (10) hours of continuing education.

(3) Continuing Education Criteria per Subject Area:

(a) Pharmacology: structured programs for physicians with course curriculum that includes at least one of the following topic areas:

(A) Properties and actions of pharmaceutical drugs and dosage forms

(B) Pharmaceuticals for therapy and prevention of disease states

(C) Maintain and enhance competence applicable to prescribing off the formulary compendium

(D) Pharmaceutical medication error prevention, prevention of events that may cause or lead to inappropriate pharmaceutical medication use or patient harm

(E) General topics related to pharmaceutical management

(b) Professional Ethics, Boundaries and Communication: structured programs for physicians and health care professionals focused on ethical practices, that offer concrete advice on how health care professionals should interact with patients and address critical decisions within their practice.

(c) Suicide Prevention: structured programs for physicians and health care professionals on suicide risk assessment, treatment, and management consistent with Applied Suicide Intervention Skills Training (ASIST)

(d) Cultural Competency: structured programs for physicians and health care professionals that meet the skill requirements established by the Oregon Health Authority under ORS 413.450 (Continuing education in cultural competency)

(e) Pain Management: structured program for physicians and health care professionals with course curriculum that includes at least one of the following topic areas:

(A) Current perspectives on the neuroscience and complex biopsychosocial nature of pain

(B) International Association for the Study of Pain (IASP) Guidelines

(C) Center for Disease Control (CDC) Opioid Prescribing Guidelines.

(D) Oregon Health Authority Opioid Prescribing Guidelines

(f) Professional Development: limited to (2) hours of general education annually, structured program for physicians and health care professionals with course curriculum that includes at least one of the following topic areas: 

(A) Licensee physical and mental wellness, managing stress and setting boundaries, implementing ADA productivity enhancers, reducing physician burn out, increasing career satisfaction, promote workplace civility and positive patient interaction.

(B)  Enhance practice management skills and develop practice resiliency strategies to meet health-care priorities, challenges, and crises, adapt and respond to the evolving needs of diverse patient populations.

(C)  Best practices for ensuring patient confidentiality and public safety in the digital clinic environment, effective charting, records access and transparency, record management, incorporating telemedicine in primary care.

(g) General Education:

(A) Presented by naturopathic physicians, other physicians, or other professionally acknowledged health care educators with expertise in the subject matter

(B) Support, develop, and increase the knowledge, skills, and professionalism of naturopathic physicians

(C) In the scope of practice of naturopathic medicine in the State of Oregon

(4) Licensees must retain proof of continuing education hours earned for a minimum of five calendar years.

Statutory/Other Authority: ORS 685.125
Statutes/Other Implemented: ORS 685.102 & ORS 413.590
History:
OBNM 2-2024, amend filed 10/29/2024, effective 01/01/2025
OBNM 7-2022, amend filed 08/11/2022, effective 08/11/2022
OBNM 12-2021, amend filed 12/21/2021, effective 01/01/2022
OBNM 12-2020, amend filed 03/06/2020, effective 03/06/2020
OBNM 4-2018, amend filed 03/15/2018, effective 03/15/2018
OBNM 2-2015, f. & cert. ef. 4-17-15
BNE 6-2009, f. 11-2-09, cert. ef. 1-1-10
BNE 5-2009(Temp), f. & cert. ef. 10-13-09 thru 12-31-09
BNE 4-2009, f. & cert. ef. 10-6-09
BNE 3-2006, f. & cert. ef. 10-13-06
Renumbered from 850-010-0210, BNE 8-2005, f. & cert. ef. 10-27-05
BNE 4-2004, f. & cert. ef. 6-10-04
BNE 7-2002, f. & cert. ef. 12-10-02
BNE 6-2000, f. & cert. ef. 12-6-00
BNE 2-1998, f. 7-31-98, cert. ef. 8-3-98
Reverted to NE 1-1996, f. & cert. ef. 10-18-96
NE 2-1997(Temp), f. 12-1-97, cert. ef. 12-2-97 thru 5-31-98
NE 1-1996, f. & cert. ef. 10-18-96
NE 2-1993, f. & cert. ef. 9-23-93
NE 1-1992, f. & cert. ef. 1-15-92
NE 1-1986, f. & ef. 4-10-86
NE 2-1984, f. & ef. 2-28-84
NE 5-1980, f. & ef. 9-11-80
NE 6, f. 6-1-73, ef. 6-15-73

850-040-0215
Program Provider Application for Board Approval of Continuing Education Programs: Program Standards and Qualifications for Board Approval of Continuing Education Credit, List of Board Pre-Approved Continuing Education Programs and Courses, Programs not Eligible for Continuing Education Credit   

(1) Program Standards and Qualifications for Board Approval of Continuing Education Credit:

(a)  Program providers must offer continuing education programs that meet the minimum education requirements set forth in OAR 850-040-0210

(b) Program providers must submit a program approval application to the Board a minimum of 30 days prior to the program date for Board approval.

(c) Programs held in the State of Oregon, must be live and attended by Oregon licensees either in-person or by synchronous remote attendance.

(d) Programs not held in the State of Oregon, must be live and attended by Oregon licensees either in-person or by synchronous remote attendance, and provided by one of the following:

(A) Active Oregon Licensee

(B) American Association of Naturopathic Physicians (AANP)

(C) Oregon Association of Naturopathic Physicians (OANP)

(e) Program providers must submit documentation of compliance with criteria set forth as requested by the Board.

(f) Program providers failure to adhere to the criteria or provide documentation requested by the Board may result in withdrawal of credit, prohibition from applying for approval of future programs, and licensee discipline.

(2) List of Board Pre-Approved Continuing Education Programs and Courses

(a) Specific programs listed, or courses offered or accredited by the following are pre-approved by OBNM for continuing education credit:

(A) American Association of Naturopathic Physicians (AANP) - Annual Convention

(B) Accreditation Council for Continuing Medical Education (ACCME)

(C) Accreditation Council for Pharmacy Education (ACPE)

(D) Council on Naturopathic Medical Education (CNME) Residencies

(E) National University of Natural Medicine (NUNM)

(F) North American Naturopathic Continuing Education Accreditation Council (NANCEAC)

(G) Oregon Association of Naturopathic Physicians (OANP) - Annual and Quarterly Conferences

(H) Oregon Board of Pharmacy

(I) Oregon Health Authority

(J) Oregon Medical Board - Medical, Osteopathic approved education only

(b) Licensees who complete one of the specific programs listed, or courses offered or accredited by providers in this section may submit a certificate of completion for CE credit, no individual licensee or program application for Board approval or additional documentation required.

(3) Programs Not Eligible for Continuing Education Credit   

(a) Programs that are proprietary in nature, promoting exclusive services, companies, or products.

(b) Business Related Programming

(A) Accounting, tax liability, financial planning, money management

(B) Marketing, public relations, social media, media, outreach, and branding

(C) Strategies related profitability, income streams, funding

(D) Contracts, leases, employment matters, human resource functions

(E) Business ownership, determining business model or practice type

(c) Insurance matters, including but not limited to billing practices and disputes.

(d) Programs presented by a lay person(s) or directed to the public.

(e) Programs that are not related to the scope of practice of naturopathic medicine.

Statutory/Other Authority: 685.125
Statutes/Other Implemented: 685.102 & 413.590
History:
OBNM 3-2024, adopt filed 10/29/2024, effective 01/01/2025

850-040-0230
Licensee Application for Board Approval of Continuing Education Programs Attended and Self-Directed Activities

(1) Criteria for Board Approval of Licensee Applications for Continuing Education Credit for Structured Education Programs or Webinars Attended

(a) Education must meet the criteria set per 850-040-0210

(b) Licensees must submit applications for approval for continuing education credit to the Board no later than 30 days from the date of completion

(c) Active Licensees may not submit applications for approval for continuing education credit to the Board after satisfying the 32 hours of continuing education as required in 850-040-0210

(d) Inactive Licensees may not submit applications for approval for continuing education credit to the Board after satisfying the 10 hours of continuing education as required in 850-040-0210.

(2) Activities Eligible and Criteria for Board Approval of License Applications for Continuing Education for Self-Directed Education and Activities. Licensee may receive a maximum of ten (10) credit hours annually from any combination of the permitted hours for the following self-directed education and activities 

(a) Peer reviewed publication – Authorship or Review and Report: maximum of three (3) total credit hours annually. Subject of the article must be in the scope of practice of naturopathic medicine in the State of Oregon. Licensees must provide the Board with the following no more than 30 days from the date of completion:

(A)  Authorship:

(i) Copy or excerpt (up to ten (10) pages maximum) of the published article, including the name and issue of the peer reviewed publication

(ii) Written description (up to five (5) pages maximum) of how research, development and content of the published article support, develop, and increase the knowledge, skills, and professionalism of naturopathic physicians

(iii) Written record of the number of hours spent on research, development and writing the publication

(B) Review and Report:

(i) Copy or excerpt (up to five (5) pages maximum) of the published article, including the name and issue of the peer reviewed publication

(ii) Written summary (up to five (5) pages maximum) describing how the content of the article supports, develops, and increases the knowledge, skills, and professionalism of naturopathic physicians

(iii) Written record of the dates and number of the hours spent reviewing and summarizing material

(b) Formal protocol writing for a health care facility or government health care agency: maximum of three (3) total credit hours annually. Subject of the formal protocol must be in the scope of practice of naturopathic medicine in the State of Oregon. Licensees must submit the following no more than 30 days from the date of completion:

(A) Copy or excerpt (up to five (5) pages maximum) of the completed formal protocol

(B) Written description (up to five (5) pages maximum) of how the research, development, content and writing of the formal protocol supports, develops, and increases the knowledge, skills, and professionalism of naturopathic physicians

(C) Certificate/letter of completion with date protocol was finished, total number of hours spent on research, development, and protocol writing signed by licensee’s supervisor

(c) Naturopathic Physicians Licensing Examinations (NPLEX) Committee for the development and writing of the NPLEX examinations: maximum three (3) total credit hours annually. Licensees must submit the following no more than 30 days from the date of completion:

(A) Written description (up to five (5) pages maximum) of how exam research, development and writing support, develop, and increase the knowledge, skills, and professionalism of naturopathic physicians

(B) Certificate/letter of completion with date of completion, and total number of hours spent on research, development, and writing signed by licensee’s supervisor or NPLEX designee

(d) Research related to the advancement of naturopathic medicine, for a recognized educational or medical institution or organization: maximum of six (6) total credit hours annually. Licensee must submit the following no more than 30 days from the date of completion:

(A) Attestation Licensee does not have financial conflicts or fiduciary relationships with the educational or medical institution or organization where licensee is conducting the research

(B) Written description (maximum five (5) pages) how licensees research is in the scope of practice of naturopathic medicine in the State of Oregon, and supports, develops, and increases the knowledge, skills of naturopathic physicians

(C) Certificate/letter of completion with date research was completed, total number of hours spent on research and development, signed by licensee’s supervisor

(e) Presentation of a structured continuing education program in the scope of practice of naturopathic medicine in the State of Oregon: maximum of six (6) total credit hours annually. Licensee must submit the following no more than 30 days from the date of completion:

(A) Declaration the presentation was developed and created in the calendar year applying for credit, and no portion of the presentation has been used in previous years.

(B) Excerpt of presentation materials (up to five (5) pages maximum), and agenda, schedule, and total length of the presentation

(C) Written description (up to five (5) pages maximum) how research, development and content of the presentation supports, develops, and increases the knowledge, skills, and professionalism of naturopathic physicians

(D) Written record of hours spent researching, developing the content of the presentation, and length of presentation submitted total number of hours spent on research and development, signed by licensee’s supervisor

(f) Teaching at an accredited graduate level course in the scope of practice of naturopathic medicine in the State of Oregon: maximum six (6) total credit hours annually. Licensee must submit the following no more than 30 days from the date of completion:

(A) Declaration the course material was developed and created in the calendar year applying for credit, and no portion of the course material has been used in previous years.

(B) Excerpt of course materials (up to ten (10) pages maximum), and syllabus, schedule, with the name of the accredited institution and faculty supervisor

(C) Written description (up to ten (10) pages maximum) how research, development and content of the course supports, develops, and increases the knowledge, skills, and professionalism of naturopathic physicians

(D) Certificate/letter of completion with total number of hours spent on research and development of course, signed by licensee’s faculty supervisor

(g) Preceptorship with an Oregon licensed naturopathic physician or doctorate level clinician with a minimum of five (5) years of clinical experience: maximum six (6) total credit hours annually. Preceptorship must be in scope of practice of naturopathic medicine in the State of Oregon. Licensee must submit the following no more than 30 days from the date of completion:

(A) Name of medical facility, preceptor, and licensee’s direct supervisor

(B) Certificate/letter of completion with a record of attendance and total hours licensee participated in the preceptor program, signed by licensee’s preceptor/ supervisor,

(3) Activities Eligible and Criteria for Board Approval for Continuing Education for Volunteer Work: Licensees may submit proof of completion of volunteer hours for continuing education (CE) credit for the following qualifying volunteer services that advances patient and public health and safety, and access to care.

(a) Service on the Board of Naturopathic Medicine: Licensed Board members who annually waive all compensation per 850-005-0190(1) for Board service may receive all annually required continuing education for renewal per OAR 850-040-0210. Board Executive Director will annually provide qualifying members with a letter confirming Board service prior to renewal. 

(b) Service on Council on Naturopathic Physicians Formulary: Licensed Council members who annually waive all compensation per 850-005-0190(1) for Council service may receive up to five (5) hours of either general or pharmacology continuing education required for renewal per OAR 850-040-0210. Board Executive Director will annually provide qualifying members with a letter confirming Council service prior to renewal. 

(c) Volunteer service for a qualified non-profit organization. 

(A) Licensee may receive a maximum of six (6) general education credit hours annually for providing naturopathic medical services without compensation, provided that:

(i) Services were provided by or through a recognized tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code or is a federally recognized tribe.

(ii) The services constitute naturopathic medical services within the scope of the licensee’s Oregon license.

(iii) The services are provided without compensation, either direct or indirect

(iv) The services are rendered in compliance with all applicable state and local laws.

(v) One (1) hour of qualifying volunteer service shall be credited as one (1) hour of general continuing education.

(B) Licensee must submit a letter or certificate of completion from the qualified nonprofit organization on official letterhead, or federally recognized tribe, signed by an authorized representative, no more than 30 days from the date of completion of volunteer service, that verifies:

(i) The name of the organization and confirmation of its 501(c)(3) or federally recognized tribe status.

(ii) The dates of service and total number of hours performed.

(iii) A brief description of the naturopathic medical services provided; and

(iv) A statement affirming the services were provided without either direct or indirect compensation.

Statutory/Other Authority: ORS 685.125
Statutes/Other Implemented: ORS 685.102
History:
OBNM 10-2026, amend filed 06/22/2026, effective 06/22/2026
OBNM 1-2024, amend filed 10/29/2024, effective 01/01/2025
OBNM 13-2020, amend filed 03/09/2020, effective 03/09/2020
BNE 1-2006, f. & cert. ef. 10-13-06

850-040-0240
One-time Continuing Education Required Prior to Administering Injection and IV Therapy, and Provider Requirements

(1) Lower Body and Lower Body Extremity Injections: Following education must be provided by a Naturopathic Physician, Doctor of Medicine, Doctor of Osteopathic Medicine, or faculty of an accredited medical or naturopathic school or college, with five or more years of experience in tendons, ligament, and extremity injections:  

(a) Four (4) hours didactic education in diagnosis, natural history of conditions, care management, selection of image guidance, and interventional technique regarding lower body and/ or lower body extremities.

(b) Ten (10) hours practical education including supervised delivery of therapy to appropriate target of the lower body and/ or lower body extremities

(2) Upper Body and Upper Body Extremity Injections: Following education must be provided by a Naturopathic Physician, Doctor of Medicine, Doctor of Osteopathic Medicine, or faculty of an accredited medical or naturopathic school or college, with five or more years of experience in tendons, ligament, and extremity injections.

(a) Four (4) hours of didactic education in diagnosis, natural history of conditions, care management, selection of image guidance, and interventional technique regarding upper body and/ or upper body extremities.

(b) Ten (10) hours practical education including supervised delivery of therapy to appropriate target of the upper body and/ or upper body extremities.

(3) Peri-Spinal Injections: Following education must be provided by a Naturopathic Physician, Doctor of Medicine, Doctor of Osteopathic Medicine, or faculty of an accredited medical or naturopathic school or college, with five or more years of experience in spinal injections

(a) Proof of completed approved education in sections 1 and 2 of this rule.

(b) Four (4) hours of didactic education in diagnosis, natural history of conditions, care management, selection of image guidance, and interventional technique regarding spinal injections.

(c) Twelve (12) hours practical education including supervised delivery of therapy to appropriate spinal targets.

(4) Injection Therapy of Autologous Injectate: Following education must be provided by a Naturopathic Physician, Doctor of Medicine, Doctor of Osteopathic Medicine, or faculty of an accredited medical or naturopathic school or college, with five or more years of experience in autologous injections.

(a) Eight (8) hours of Board approved education per autologous injectate, focused on autologous acquisition, injectate processing, sterile technique, and safety.

(b) Licensee shall only administer Injection Therapy of Autologous Injectate that corresponds to the completion of Board approved training per injection site, section(s) 1-3;

(5) Ozone Injection Therapy: Following education must be provided by a Naturopathic Physician, Doctor of Medicine, Doctor of Osteopathic Medicine, or faculty of an accredited medical or naturopathic school or college, with five or more years of experience in Ozone injection therapy:

(a) Four (4) hours of Board approved didactic education focused on Ozone injection therapy

(b) Licensee shall only administer Ozone Injection Therapy that corresponds to the completion of Board approved training per injection site, section(s) 1-3;

(6) IV Therapy: Passage of Parenteral Medicine NPLEX elective exam,

(7) Chelation IV Therapy: Following education must be provided by a Naturopathic Physician, Doctor of Medicine, Doctor of Osteopathic Medicine, or faculty of an accredited medical or naturopathic school or college, with five or more years of experience in Chelation IV Therapy.

(a) Passage of Parenteral Medicine NPLEX elective exam,

(b) Eight (8) hours of Board approved education in Chelation IV Therapy.

(8) Ozone IV Therapy: Following education must be provided by a Naturopathic Physician, Doctor of Medicine, Doctor of Osteopathic Medicine, or faculty of an accredited medical or naturopathic school or college, with five or more years of experience in Ozone IV Therapy.

(a) Passage of Parenteral Medicine NPLEX elective exam

(b) Sixteen (16) hours of Board approved IV Ozone Therapy

(9) Active Oregon license to practice Naturopathic Medicine is required prior to administering the following:

(a) Subcutaneous, Intramuscular, Intravenous Injections of Compounded, Manufactured, Injectable Grade Injectate that are medical in nature:

(b) All therapies listed in section 1-8 of this rule.

Statutory/Other Authority: ORS 685.125
Statutes/Other Implemented: ORS 685.102
History:
OBNM 6-2024, amend filed 10/29/2024, effective 01/01/2025
OBNM 5-2022, amend filed 08/11/2022, effective 08/11/2022
BNE 1-2006, f. & cert. ef. 10-13-06

850-040-0250
One-time Continuing Education Required Prior to Administering or Supervising the Administration of Ketamine

(1) Four (4) hours of Board approved pharmacology education on prescribing Ketamine, including dosage and administration, clinical indications, and safety planning.

(2) For administration for non-pain management purposes, two (2) hours of Board approved ethics education on Ketamine prescribing and treatment, including doctor-patient boundaries, enhanced consent, and therapy models.

(3) Passage of the Parenteral Medicine elective NPLEX exam prior to administering or supervising the administration of IV Ketamine

Statutory/Other Authority: 685.106
Statutes/Other Implemented: 685.102
History:
OBNM 2-2026, amend filed 05/06/2026, effective 05/07/2026
OBNM 5-2024, adopt filed 10/29/2024, effective 01/01/2025