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Oregon Revised Statute 677.085 defines as part of the practice of medicine, "(4) Offer or undertake to diagnose, cure or treat in any manner, or by any means, methods, devices or instrumentalities, any disease, illness, pain, wound, fracture, infirmity, deformity, defect or abnormal physical or mental condition of any person."Thus the use of External Counterpulsation beds can indeed constitute the practice of medicine, which means you would need a medical doctor who, while they do not have to be on site, is a director to oversee who you are providing the treatment to and that it is being performed correctly and only on qualified patients. So, while you do not need a license to use the bed, you can only offer it to others at the direction and under supervision, even indirect supervision, of a licensed doctor in Oregon.