Can registered nurses and nurse practitioners inject Botox and fillers in Oregon?

Yes, under physician delegation; RN must work under standing orders or direct supervision NP/PA may inject under physician collaboration; independent practice not permitted for injectables

Oregon · Moderate

Can RNs and Nurse Practitioners Inject Botox in Oregon?

Nurses do most of the injecting in this industry — but Oregon draws specific lines around what an RN versus an NP can do, and who has to supervise.

By Evan at Inside MedSpa

Registered nurses (RNs)

Yes, under physician delegation; RN must work under standing orders or direct supervision

Nurse practitioners & physician assistants

NP/PA may inject under physician collaboration; independent practice not permitted for injectables

Supervision & the medical director

Required; physician medical director must oversee injectable procedures

The exam requirement

Required; in-person or telehealth allowed under certain conditions

What to verify in Oregon

Confirm your medical director's willingness to provide standing orders for RN injectors and document all delegation agreements in writing.

Primary source: Oregon Medical Board; Oregon State Board of Nursing

General business information for Oregon medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Oregon board (and your own counsel) before you act.

See the full Oregon regulation profile →

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