For nurse practitioners · Oregon

Decades ahead of the wave.

Oregon licenses nurse practitioners as fully independent clinicians — ORS 678.375-678.390 grant licensure, prescriptive authority, and even death-certificate authority with no physician supervision or collaboration language anywhere in the NP statutes.

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Every state with a pathway

The moment

Independence attaches at licensure

Oregon’s NP statutes contain no supervision or collaboration language at all — licensure, prescriptive authority, even the authority to sign a report of death stand on their own. Historical accounts date independent prescriptive authority to 1979, which would put Oregon roughly three decades ahead of the national full-practice wave.

The requirement

none — independence at licensure

The moment it attaches

automatic — attaches at initial NP licensure

The timeline

1979 (independent prescriptive authority; NP independence dates from Oregon's 1970s NP statutes)

The statute

ORS 678.375; ORS 678.380

The receipt

Other platforms would show a testimonial here. Gale has no Oregon NPs to quote, and we do not invent people — so here is the dated, sourced fact instead.

In 1979 Oregon became one of the first states in the nation to give nurse practitioners independent prescriptive authority — roughly three decades before the national full-practice-authority wave began.

ORS 678.375; ORS 678.380

Scope and carve-outs

The grant and the strings, at equal weight

Full scope: independent practice within board-defined NP categories (ORS 678.380), prescriptive authority including controlled substances upon board approval under ORS 678.390, and authority to complete and sign reports of death; no controlled-substance or specialty carve-outs.

What Gale runs

The inventory, split honestly. Nothing dark is dressed as live.

In the product today

  • Scheduling and the calendar.
  • Notes, with a scribe that drafts during the visit — you stay the final editor of every note.
  • Telehealth where the chart lives.
  • The patient record — see a sample chart, no signup.
  • Superbills for the patient who wants to claim out-of-network benefits.
  • The Fee Schedule — the one Gale document that states the fee.
  • Your practice page, in the public directory compiled from the NPPES registry.

Opening with the founding cohort

  • Concierge memberships — a monthly plan your practice sells on its own terms. Not sellable yet: enrollment fails closed behind a legal switch until counsel clears it. No countdown — when it clears, it clears.
  • The loop tracker — every referral, lab, and question a visible loop with an owner, a state, and a promised window. Closing one requires an outcome note; nothing silently expires.
  • The guided founding sequence — practice setup walked step by step with the first cohort: entity, posted prices, the practice page, the first visit.
The economics

No physician attached means no standing invoice between you and your own practice — the economics of independence here are unusually legible. What Gale adds is built to read the same way.

Gale’s side of the ledger is deliberately short. The software is free, and Gale earns one flat all-in fee on a transaction — charged only when your practice is actually paid, never as a subscription, never with per-feature line items, never a spread on your rate. The number itself lives in exactly one document, on purpose, so it can never quietly say two different things in two places: the Fee Schedule states it.
The playbook

The deepest state cluster we have built is California’s — eight guides on the 103/104 ladder, cited to the statute and the board’s own filings. They are California’s rules, not Oregon’s; the same treatment is coming state by state. Until then, they show the depth of homework to expect from us.

The California playbook →
Where to start

Your page may already exist

Gale publishes a public directory compiled from the NPPES registry. Find your listing, claim it, and see how you rank for your own name — that page is the front door your independent practice will be found through.

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