Oregon Application for Initial Nurse Practitioner 2025

1. Click ‘Get Form’ to open the Oregon Application for Initial Nurse Practitioner in our editor.
2. Begin with Section 1: Application Information. Ensure you select the correct application type and provide your current NP, CRNA, or CNS status.
3. In Section 2: Name and Address Information, fill in your last name, first name, middle name, and contact details accurately. Remember that your email is crucial for notifications.
4. Proceed to Section 3: Personal Identifiers. Enter your gender, date of birth, and Social Security Number as required. Be mindful that refusal to provide your SSN may lead to application denial.
5. For Section 4: Practice Requirement, check the appropriate box based on your qualifications regarding practice hours or education.
6. Complete Section 5 by indicating where you will utilize your prescriptive authority in Oregon. If seeking employment, note that as well.
7. Read and acknowledge the handbook mentioned in Section 6 before signing off in Section 7. This ensures compliance with regulations.

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