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