Substantially Equivalent States

Washington state may issue credentials to applicants with credentials in another state based upon the other state's qualifications. The other state's licensing standards must be substantially equivalent to Washington state's licensing qualifications.

New legislative changes due to SHB 1724 will apply new criteria to out of state applicants starting July 23, 2023.

To qualify:

  • applicant must come from a state that has been deemed substantially equivalent (see list below),
  • has been credentialed for at least two years in that state, and 
  • has not been subject to disciplinary action.

To apply, applicants should use the endorsement application until further notice. We are working on updating our applications to reflect these changes.

State for Review Date of Review Equivalent?
Alabama November 20, 2024 No
Alaska November 20, 2024 Yes
Arizona November 20, 2024 Yes
Arkansas November 20, 2024 No
California November 20, 2024 Yes
Colorado November 20, 2024 Yes
Connecticut November 20, 2024 Yes
District of Columbia November 20, 2024 Yes
Delaware November 20, 2024 No
Florida November 20, 2024 No
Georgia November 20, 2024 No
Hawaii November 20, 2024 No
Idaho November 20, 2024 Yes-Naturopathic Medicine Doctor (NMD)
No-Naturopathic Doctor (ND)
Illinois November 20, 2024 No
Indiana November 20, 2024 No
Iowa November 20, 2024 No
Kansas November 20, 2024 Yes
Kentucky November 20, 2024 No
Louisiana November 20, 2024 No
Maine November 20, 2024 Yes
Maryland November 20, 2024 Yes
Massachusetts November 20, 2024 Yes
Michigan November 20, 2024 No
Minnesota November 20, 2024 Yes
Mississippi November 20, 2024 No
Missouri November 20, 2024 No
Montana November 20, 2024 Yes
Nebraska November 20, 2024 No
Nevada November 20, 2024 No
New Hampshire November 20, 2024 Yes
New Jersey November 20, 2024 No
New Mexico November 20, 2024 Yes
New York November 20, 2024 No
North Carolina November 20, 2024 No
North Dakota November 20, 2024 Yes
Ohio November 20, 2024 No
Oklahoma November 20, 2024 No
Oregon November 20, 2024 Yes
Pennsylvania November 20, 2024 No
Rhode Island November 20, 2024 Yes
South Carolina November 20, 2024 No
South Dakota November 20, 2024 No
Tennessee November 20, 2024 No
Texas November 20, 2024 No
Utah November 20, 2024 Yes
Vermont November 20, 2024 Yes
Virginia November 20, 2024 No
West Virginia November 20, 2024 No
Wisconsin November 20, 2024 Yes
Wyoming November 20, 2024 No