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Information Requests
CUSTOMER SURVEY CE ACTIVITIES LOG FORM
LICENSE VERIFICATION SUPERVISION STATEMENT
NUMBER OF LICENSEES CHANGES ?
LICENSEE LIST REQUEST
NEED COPIES ?
LICENSE APPLICATION FORMS
CUSTOMER SURVEY
If you recieved services from the OT Licensing Board please fill out this very short survey online:
The survey is short and confidential (unless you identify yourself in the comments section).  We do read all your comments, and try to improve our services based on them.
 
Please click here for the survey.

LICENSE VERIFICATION
Do you need a License Verification?
 
There is NO charge in Oregon for license verifications.
 
The online license verifications does constitute a "primary issuing source" for purposes of license verification.   You can click on the Last name,  First name, License Number, or City, or scroll down to the second box for specialty areas.    
 
Click here to verify a license online    
 
You can also request a verification of licensure, by telephone at 971-673-0198, by fax at 971-673-0226 or by e-mail:  Felicia.M.Holgate@state.or.us or by writing to the Board office.  
 
We sent verifications out within a few days.  The Board verifies the license number, whether it is current, the date of initial licensure, and whether the board has disciplined the licensee.   We will notify you by e-mail when the verification is sent if you have your e-mail.   
 
Note:  Oregon law requires all information obtained during a complaint be kept confidential, including the fact that there is an on-going investigation (except in rare instance where there is a showing by clear and convincing evidence that disclosure is in the public’s interest). However, once the investigation is complete and the Board, by a majority vote, has taken disciplinary action, a copy of the action is available on request.  These requests generally come from other state licensing boards, insurance carriers, and potential employers.  See more information on the Complaints/Investigation tab.

NUMBER OF LICENSEES
As of September,  2008 there are just over 1500 licensed Occupational Therapists in Oregon.  Included in that total are 241 OT Assistants.

LICENSEE LIST REQUEST
Licensee lists are public information and available upon request.
Licensee lists are public information and are available upon request for a fee of $25. Persons may order a list of licensees by sending in a written request, stating whether list is to be in zip code order or alpha order, along with the $25 payment.
 
Make checks or money orders payable to:
Oregon Occupational Therapy Licensing Board 
800 NE Oregon, Suite 407
Portland, Oregon 97232
 
For a licensee list request form, click here
 
If you have questions about specific requests, please contact Gayle Shriver at Gayle.R.Shriver@state.or.us or e-mail 
Felicia.M.Holgate@state.or.us
or call the OTLB office at 971-673-0198.  You can also send a fax to 971-673-0226.  We hope to have credit card payments for this service soon.

NEED COPIES ?
The first ten pages are free!
Printed public information (minutes, rules, statutes, policies, etc.) is available upon request. The first ten pages are free.  Additional pages are $ .25 a page, with additional charges if the request requires significant staff time and research.

LICENSE APPLICATION FORMS
 
You can find License Application forms here

CE ACTIVITIES LOG FORM
For more information on CE click here for Continuing Education  
 
Click here for a CE Activities Log Form in pdf
 
Click here for a CE Activities Log Form in word

SUPERVISION STATEMENT
OT Assistants working in Oregon must have a signed Statement of supervision
Look under Supervision or for a Statement of Supervision form  click here.
 
A new rule deletes the requirement that the Statement of Supervision be notarized.

CHANGES ?
To submit changes:
Send us a fax or e-mail to inform us of changes to your name or address. 
 
It is better to get it in writing.   For e-mail send to Felicia.M.Holgate@state.or.us   
For fax send to 971-673-0226. 
 
For mail send to:  OT Licensing Board, 800 NE Oregon St. Suite 407, Portland, Oregon 97225.
 
If it is a name change be sure to include a copy of the legal document that changed your name and exactly how you wish it to appear (do you want both names, a middle initial ?).  The document can be a copy of the divorce paper, marriage certificate or name change document. 

 
Page updated: September 05, 2008

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