✨ Aesthetic / Medical Spa · Oregon

Oregon: medical director for a aesthetic / medical spa

Whether Oregon requires a physician medical director for a aesthetic / medical spa, the qualifications, duties and the rule it comes from.

Medical directorMedical director required
Title in the ruleMedical Director
Research date2026-09-03

Qualifications

Licensed physician (MD/DO), or a nurse practitioner with full practice authority directing their own practice.

Notes

AMBIGUOUS — flag for attorney review. The Board's 'Responsibilities of Medical Directors of Medical Spas' is a non-binding Statement of Philosophy, not a statute mandating one — it describes how a physician taking that role is held to ordinary medical-facility standard of care. The practical requirement flows from general delegation authority plus the 2025 CPOM overhaul (SB 951, ORS 58.375/.376), not a med-spa-specific licensing statute.

Sources (2)

Delegated services in this practice type

Business ownership and clinical authority are separate questions in this practice type. What the state says about the staff who deliver the services.

Registered Nurses

RNs (general licensure, not an APRN) are not subject to physician supervision in Oregon. ORS 678.010 defines the 'practice of registered nursing' as assessing, planning, ordering, giving, delegating, teaching, and supervising care with no physician-direction language, in contrast to LPN practice, which the statute ties to a medical or nursing plan of care.

For medical-aesthetics (med-spa) businesses performing delegated medical procedures, RN ownership of the entity does not itself remove any physician-delegation requirement for the procedures — ownership and clinical-delegation authority are separate questions. The specific Oregon Medical Board delegation rule for such procedures was not researched in this pass.

Estheticians

Licensed estheticians (ORS 690.005 et seq., Health Licensing Office) practice independently within their scope — cleansing, exfoliating, temporary hair removal, makeup, and facial/body treatments using hands or non-laser mechanical/electric devices. ORS 690.005(12)(b) expressly excludes lasers and intense pulsed light devices from the definition of permitted esthetics equipment — laser work falls outside the license entirely, not merely supervision-gated.

Mirrors the RN med-spa-ownership pattern elsewhere in this dataset — not independently confirmed against Oregon Medical Board guidance in this research pass.

Every agreement Oregon names · Aesthetic / Medical Spa in other states