Washington · Moderate

Do You Need a Medical Director for a Med Spa in Washington?

Q: Does a medical spa in Washington need a medical director?

Required for facilities with RN/LPN injectors Lenient; MSO/management structures permitted This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.

Whether Washington requires a medical director — and what that director is actually on the hook for — shapes your staffing, your liability, and your startup budget. Here's the Washington picture.

By Evan at Inside MedSpa

Medical director requirement

Required for facilities with RN/LPN injectors

Corporate Practice of Medicine

Lenient; MSO/management structures permitted This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.

Who can supervise or delegate

NP/PA may inject under physician collaboration; independent practice limited

How the exam ties in

Required; in-person or telehealth allowed under certain conditions

What to verify in Washington

Establish a clear physician delegation agreement and verify telehealth GFE protocols with the Washington Medical Commission before launch.

Primary source: Washington Medical Commission; Washington Nursing Care Quality Assurance Commission

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

See the full Washington regulation profile →

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