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.