Ownership rules

Non-physicians via MSO/management structure permitted

Corporate Practice of Medicine

Lenient; MSO/management structures permitted

The medical-director angle

Required for facilities with RN/LPN injectors Ownership and the medical-director requirement are usually two sides of the same compliance coin.

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 →