We surveyed K-6 classroom teachers in four rural counties in Oregon to ascertain current nutrition and physical activity and/or physical education (PA/PE) instruction, barriers to teaching these subjects, and interest and need for professional development. Although most respondents reported teaching nutrition and PA/PE in their classrooms and appear to place high importance on teaching these subjects, reported delivery time was low. Extension can play an influential role in ensuring that students receive adequate nutrition and PA/PE instructional time by providing support to teachers through professional development, direct education in the classroom, and policy, systems and environmental change.