Oregon Revised Statutes Oregon Vehicle Code § 811.604

(1) A certificate, signed and dated within six months preceding the date of application, by a licensed physician, a certified nurse practitioner or a licensed physician assistant to the Department of Transportation that the applicant is a person with a disability or a certificate, signed and dated within six months preceding the date of application, by a licensed optometrist that the applicant is a person with a disability because of loss of vision or substantial loss of visual acuity or visual field beyond correction;

(2) The state-issued licensing number of the licensed physician, certified nurse practitioner, licensed physician assistant or licensed optometrist who signed the certificate described in subsection (1) of this section; and

(3) The number of a current, valid driver license, golf cart driver permit, identification card or parking identification card issued to the applicant by the department.