Overview
EMTs and paramedics provide emergency medical care and transport. All states require NREMT certification plus a state license. Paramedics require additional clinical training.
NREMT plus Oregon certification.
License tiers and what each allows
| License | What you can do | Exam required |
|---|---|---|
| EMT-Basic | Training level. Work under supervision. No independent work. | Registration only |
| Advanced EMT | Install, repair, and maintain systems under supervision or independently in most states. | Yes. State licensing exam (~$70 fee) |
| Paramedic | Full independent work, supervise others, pull permits, design systems. | Yes. Advanced state exam |
Step-by-step path
Register as an apprentice
Register with Oregon Health Authority - EMS before starting work. This is required to legally accumulate supervised hours toward your journeyman qualification. Some states charge a small registration fee.
Accumulate 120 hours of supervised experience
Work under a licensed journeyman or master emt / paramedic. This takes approximately 0 years at full-time hours. Your employer is required to verify your hours when you apply for the journeyman exam.
Pass the journeyman licensing exam
The exam covers NREMT Certification requirements and state-specific rules. Exam fee is $70. Most candidates study 4-8 weeks using a state-approved prep guide before sitting for the test.
Apply for your journeyman license
Submit your application to Oregon Health Authority - EMS after passing the exam. License fee is $65. Processing typically takes 2-4 weeks. Your employer's verification of your hours is required at this stage.
Renew biennial
Your Oregon license renews biennial. Renewal fee is $65. Some states require continuing education at renewal. Always renew on time to avoid a lapse in licensure.
Fee summary
| Item | Fee |
|---|---|
| Apprentice registration | Varies (check board) |
| Journeyman exam | $70 |
| Journeyman license | $65 |
| License renewal (biennial) | $65 |