CRNA · Oregon
Collaborative Practice Agreement for Certified Registered Nurse Anesthetists in Oregon
No. Certified Registered Nurse Anesthetists practice independently here. Oregon does not require one.
OAR 851-052-0010 frames physician consultation/referral as the CRNA's own professional judgment call, not a requirement, and OAR 851-052-0060 (office-based anesthesia care) imposes no physician proximity/availability standard. Oregon opted out of the CMS Medicare physician-supervision requirement for CRNAs (governor's letter, 2001) — confirm current opt-out status before relying on this for Medicare billing purposes specifically.
What the collaboration must look like
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 proximity/availability requirement is codified for CRNA practice, including office-based anesthesia (OAR 851-052-0060).
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
Separate prescribing terms required · controlled substances permitted
'separateAgreementRequired' reflects the optional Board prescriptive-authority application, not a physician agreement — no physician sign-off is involved.
Written agreement
Not required
Unconditional under Oregon licensure law — no statute or Board of Nursing rule requires a CRNA to hold a physician supervision or collaboration agreement to practice. (A facility's own credentialing/billing rules, or Medicare Conditions of Participation, may still require physician involvement — that is a facility/payer requirement, not a state licensure one.)
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — ORS 58.376's joint physician/PA/NP professional-corporation ownership pathway names only physicians, PAs, and 'nurse practitioner' licensees — CRNA is a separate license category under ORS 678.010, not a nurse-practitioner population focus, so it is unclear whether a CRNA independently qualifies as an ORS 58.376 licensee. This is an inference from statutory omission, not a confirmed holding — treat as an open item. Absent that pathway, a CRNA-involved entity likely defaults to the physician-majority PC under ORS 58.375.
Not independently confirmed against Board of Nursing or Medical Board guidance in this research pass.
Legal sources for these rules (5)
- ORS 678.010 — Definitions (certified registered nurse anesthetist)secondary
- OAR 851-052-0010 — CRNA Scope and Practice Standardssecondary
- OAR 851-052-0060 — Office-based Care Standardssecondary
- ORS 678.281 — Optional CRNA prescriptive authority application
- ORS 58.376 — Professional corporations: physician/PA/NP joint ownership (CRNA not enumerated — see cpom notes above)secondary
What a collaborating physician costs here
Typical monthly cost in Oregon
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. 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.