Oregon DPC Guide¶

Quick Summary: Oregon has DPC-enabling legislation (O.R.S. § 735.500) and permits physician medication dispensing with registration. Active DPC community in Portland metro with rural opportunities statewide.

[!CAUTION] Verify Current Law: Always confirm current regulations with the Oregon Medical Board and review Oregon Revised Statutes Chapter 735 for the most current statutory language.

At a Glance¶

DPC Law Status¶

Legislation¶

Statute: Oregon Revised Statutes § 735.500

Statute URL: Oregon Revised Statutes Chapter 735

Oregon has DPC-enabling legislation exempting DPC agreements from insurance regulation.

Key provisions: - DPC agreements not considered insurance - Primary care services defined - Written agreement required

What This Means¶

• DPC practices operate outside insurance regulatory framework
• Legal clarity for membership model
• Standard business regulations apply

Medication Dispensing¶

Regulatory Status¶

Oregon permits physician dispensing with registration.

Requirements¶

• DEA Registration: Required for controlled substances
• State Registration: Register with Oregon Board of Pharmacy
• Pharmacy Board: oregon.gov/pharmacy
• PDMP Requirement: Check Oregon PDMP for controlled substances
• Record Keeping: Maintain dispensing records

Licensing and Registration¶

Medical License¶

Board: Oregon Medical Board

Website: oregon.gov/omb

Business Registration¶

Entity Registration: Oregon Secretary of State

Website: sos.oregon.gov

DEA Registration¶

Website: deadiversion.usdoj.gov

Medicare Considerations¶

MAC for Oregon: Noridian Healthcare Solutions (JF jurisdiction)

See Medicare Opt-Out Guide for detailed process.

Key Resources¶

State Agencies¶

Professional Organizations¶

State-Specific Considerations¶

Portland Metro¶

• Active DPC presence
• Health-conscious population
• Differentiation important

No Sales Tax¶

• Oregon has no sales tax
• Simplifies pricing/membership fees

Rural Oregon¶

• Significant primary care shortage
• Eastern Oregon underserved
• Telehealth essential for coverage

Higher Cost of Living¶

• Portland metro has higher costs
• Factor into pricing decisions
• Rural areas more affordable

Checklist for Starting DPC in Oregon¶

• Obtain or verify Oregon medical license
• Register business entity with Secretary of State
• Obtain EIN from IRS
• Register with DEA (if prescribing controlled substances)
• Register with Board of Pharmacy (if dispensing)
• Secure malpractice insurance
• Develop membership agreement
• File Medicare opt-out affidavit (if applicable)

Related Guides¶

• Medicare Opt-Out Guide
• Dispensing Medications
• State DPC Laws Overview