Washington (WA)

Washington Medical License

Get licensed to practice medicine in Washington. 13th largest state by population. IMLC member state for expedited licensure.

Population
7,740,000
Difficulty
Medium
  • IMLC Compact member (joined 2018)
  • Telehealth: Allowed
  • CME: 200 hours per 4-year cycle (120 Category 1)

MD board

Washington Medical Commission

5-10 business days for general inquiries

Official Website ↗

Quick answer

Quick Answer: Washington Medical License

Time to License
6-10 weeks
Total Cost
$511 - $1,000
CME Requirements
200 hours per 4-year cycle (120 Category 1)
IMLC Compact
Yes - expedited licensing available

Board-specific requirements

Washington MD and DO Board Details

Washington maintains separate licensing boards for MD (allopathic) and DO (osteopathic) physicians. KEY DIFFERENCE: MD requires 200 hours CME per 4-year cycle vs DO requires 150 hours per 3-year cycle. Renewal schedules also differ: MD biennial vs DO annual.

MD physicians

Washington Medical Commission

5-10 business days for general inquiries

Time To Approval
6-10 weeks (standard), 4-6 weeks (IMLC)
Total Cost Range
$511 - $1,000
Application Fee
$511
State Specific Exam Required
No
Reciprocal Licensing
Yes
Cme Requirements
200 hours per 4-year cycle (120 Category 1)
License Renewal Period
2
Renewal Cost
$996
Renewal Deadline
December 31 of even-numbered years
Renewal Fee Breakdown
$140 Physician Health Program surcharge + $16 HEAL-WA access included
Late Fee
$300
Note
MD physicians: Application $511 per Washington Medical Commission. Biennial renewal $996 by December 31. CME: 200 hours/4 years with 120 Category 1, plus 6 hours suicide prevention (one-time), 2 hours health equity/4 years, 1 hour opioid (one-time), 7 hours AIDS education (one-time).

CME details

200 hours per 4 years

Total Required
200 hours per 4-year cycle
Category1
Minimum 120 hours must be AMA PRA Category 1 Credit
  • 6 hours suicide assessment, treatment, and management (one-time, at initial licensure)
  • 2 hours health equity training every 4 years (includes implicit bias training)
  • 1 hour opioid prescribing best practices (one-time requirement)
  • 7 hours AIDS education (one-time requirement)
  • 8 hours treating patients with opioid/substance use disorders (one-time, for DEA registrants, federal requirement)
  • Remaining hours can be Category 1 or 2

Reporting: Self-certification upon renewal with random audits

Official Website ↗

DO physicians

Washington Board of Osteopathic Medicine and Surgery

5-10 business days for general inquiries

Time To Approval
6-10 weeks (standard), 4-6 weeks (IMLC)
Total Cost Range
$391 - $850
Application Fee
$391 (includes $16 HEALWA fee)
State Specific Exam Required
No
Reciprocal Licensing
Yes
Cme Requirements
150 hours per 3-year cycle (60 Category 1-A)
License Renewal Period
1
Renewal Cost
$461
Renewal Deadline
Credential holder's birthday (annual)
Renewal Fee Breakdown
$70 Physician Health Program surcharge + $16 HEAL-WA access included
Late Fee
$190
Note
DO physicians: Application $391 per Board of Osteopathic Medicine and Surgery. Annual renewal $461 on birthday. CME: 150 hours/3 years with 60 Category 1-A, plus 6 hours suicide prevention (one-time), 2 hours health equity/4 years, 1 hour opioid (one-time).

CME details

150 hours per 3 years

Total Required
150 hours per 3-year cycle
Category1
Minimum 60 hours must be Category 1-A (AOA or AMA PRA Category 1)
  • 6 hours suicide assessment, treatment, and management (one-time, at initial licensure)
  • 2 hours health equity training every 4 years (includes implicit bias training)
  • 1 hour opioid prescribing best practices (one-time requirement)
  • 8 hours treating patients with opioid/substance use disorders (one-time, for DEA registrants, federal requirement)
  • Remaining hours can be any approved category

Reporting: Self-certification upon renewal

Official Website ↗

Board Comparison

Shared requirements

  • Both boards participate in IMLC (joined 2018)
  • Both require ECFMG certification for international medical graduates
  • Both require FBI fingerprint background check
  • Both require 3 professional references
  • Both require suicide prevention training (6 hours, one-time)
  • Both require health equity training (2 hours per 4-year cycle)
  • Both require opioid prescribing education (1 hour, one-time)
  • Both require AIDS education training (7 hours for MD, not explicitly listed for DO)

Key differences

  • CRITICAL: Different CME cycles: MD (200 hours/4 years) vs DO (150 hours/3 years)
  • Different renewal schedules: MD (biennial, December 31) vs DO (annual, on birthday)
  • Different renewal fees: MD $996 biennial vs DO $461 annual
  • Different application fees: MD $511 vs DO $391
  • Different Category 1 requirements: MD (120 hours AMA Category 1) vs DO (60 hours Category 1-A)
  • Different board contact information and websites

Healthcare market

Washington Healthcare Market

Key market data for physicians considering Washington.

Healthcare Market

$55+ billion annually

Physician Demand

High

Primary Care Avg.

$265,000 - $310,000

Unique Opportunities in Washington

  • 13th largest state by population - major healthcare market
  • Separate MD and DO licensing boards with different CME cycles
  • MD: 200 hours/4 years vs DO: 150 hours/3 years CME requirement
  • No state income tax increases take-home pay
  • Major tech industry driving healthcare innovation
  • Strong academic medicine presence (UW Medicine)

Application sequence

Washington Licensing Timeline

Typical timeline: 6-10 weeks. Here's what to expect.

  1. 1

    Identify Correct Board

    MD graduates apply to Washington Medical Commission. DO graduates apply to Board of Osteopathic Medicine and Surgery. Different websites, fees, and CME requirements.

    Immediate
  2. 2

    Create Account and Begin Application

    Register on the appropriate board's online licensing system. Complete the physician application.

    1-2 days
  3. 3

    Submit Application and Fees

    Pay the application fee. MD: $511. DO: $391.

    Immediate
  4. 4

    Complete Required Training

    Complete required training: suicide prevention (6 hours), opioid prescribing (1 hour), AIDS education (7 hours for MD) if not already completed.

    1-2 days
  5. 5

    Complete Fingerprinting

    Complete fingerprinting through approved vendor.

    1-2 weeks for clearance
  6. 6

    Credential Verification

    Request primary source verifications from medical school and training programs.

    3-5 weeks
  7. 7

    Application Review and Approval

    Board reviews complete application.

    2-4 weeks
  8. 8

    License Issuance

    Upon approval, license is issued and can be verified online.

    1-3 days after approval

Application path

Washington License Requirements

Complete requirements for your WA medical license.

Medical Education

Must graduate from LCME-accredited (MD) or AOA-accredited (DO) medical school, or approved international school. Both boards accept both types of degrees.

  • Official transcripts through FCVS or direct from medical school

Postgraduate Training

Minimum 2 year(s) required

  • MD Board: Minimum of 2 years ACGME-accredited training. DO Board: Minimum of 2 years ACGME or AOA-accredited training

Licensing Exams

MD Board: Must pass USMLE Steps 1, 2 CK, and 3

  • COMLEX accepted: DO Board accepts COMLEX-USA or USMLE. MD Board accepts USMLE and COMLEX.

Background Check

Fingerprinting required

  • Fingerprinting through Washington State Patrol and FBI for both boards

Professional References

3 references required

  • Licensed physicians
  • Residency program directors

Practice considerations

Practicing in Washington

What to expect when practicing medicine in Washington.

Specialties in Demand

Western Washington (Puget Sound) is highly urban; Eastern Washington is predominantly rural

  • Primary Care / Family Medicine
  • Psychiatry
  • Internal Medicine
  • General Surgery
  • OB/GYN
  • Emergency Medicine

Compensation

10-20% above national average

  • Primary Care: $265,000 - $310,000
  • Specialist: $375,000 - $500,000+

Cost of Living

Seattle area 20-30% above national average; Eastern Washington at or below

  • Housing: High in Seattle metro ($750,000+); more affordable in Eastern Washington ($350,000-$450,000)
  • State Tax: NO STATE INCOME TAX - significant financial benefit

Major Markets

Major metropolitan practice markets.

  • Seattle-Tacoma-Bellevue (4M+)
  • Spokane (550,000)
  • Vancouver (500,000)
  • Olympia (290,000)

Shortage Areas

Areas with documented physician demand.

  • Eastern Washington rural areas
  • Parts of Southwest Washington
  • Olympic Peninsula
  • San Juan Islands

Major Healthcare Systems

Selected systems in the frozen state resource.

  • UW Medicine
  • Providence
  • Virginia Mason Franciscan Health
  • MultiCare Health System

Avoid delays

Common Pitfalls to Avoid

Don't let these common issues delay your Washington license.

Applying to Wrong Board

Washington has separate MD and DO boards. Physicians may not realize they need to apply to the board corresponding to their degree type.

Solution: MD graduates apply to Washington Medical Commission (wmc.wa.gov). DO graduates apply to Board of Osteopathic Medicine and Surgery (doh.wa.gov osteopathic section). Different websites, fees, and CME requirements.

Confusing CME Cycles Between Boards

MD board requires 200 hours per 4-year cycle while DO board requires 150 hours per 3-year cycle. This is a critical difference that can lead to non-compliance.

Solution: MD physicians: Track 200 hours over 4 years (120 Category 1). DO physicians: Track 150 hours over 3 years (60 Category 1-A). Set reminders based on your specific board's cycle.

Missing Different Renewal Deadlines

MD board renews biennially on December 31, DO board renews annually on birthday. Physicians may miss these different schedules.

Solution: MD physicians: Renew every 2 years by December 31. DO physicians: Renew annually on your birthday. Plan ahead and set calendar reminders.

Missing Required Training Certifications

Washington requires specific training (suicide prevention, opioid prescribing, health equity, AIDS education for MD) that other states may not require.

Solution: Complete required training courses before or during application process. MD: 7 hours AIDS education. Both: 6 hours suicide prevention, 1 hour opioid, 2 hours health equity.

Common questions

Washington Licensing FAQ

Common questions about getting licensed in Washington.

I'm an MD - which Washington board do I apply to?

MD (allopathic) physicians apply to the Washington Medical Commission (wmc.wa.gov). Application fee is $511, biennial renewal is $996 by December 31. You'll need 200 CME hours per 4-year cycle with 120 Category 1, plus special requirements: 7 hours AIDS education (one-time), 6 hours suicide prevention (one-time), 2 hours health equity (every 4 years), 1 hour opioid prescribing (one-time).

I'm a DO - which Washington board do I apply to?

DO (osteopathic) physicians apply to the Board of Osteopathic Medicine and Surgery under Department of Health (doh.wa.gov osteopathic section). Application fee is $391, annual renewal is $461 on your birthday. You'll need 150 CME hours per 3-year cycle with 60 Category 1-A, plus special requirements: 6 hours suicide prevention (one-time), 2 hours health equity (every 4 years), 1 hour opioid prescribing (one-time).

What's the key difference between MD and DO boards in Washington?

CRITICAL DIFFERENCE: CME requirements. MD Board: 200 hours per 4-year cycle (120 Category 1). DO Board: 150 hours per 3-year cycle (60 Category 1-A). Also different renewal schedules: MD biennial on December 31 vs DO annual on birthday. Different fees: MD $511 app/$996 renewal vs DO $391 app/$461 annual renewal.

How long does it take to get a Washington medical license?

Both MD and DO boards: Standard processing takes 6-10 weeks for complete applications. IMLC pathway typically takes 4-6 weeks. Both boards joined IMLC in 2018.

Is Washington part of the Interstate Medical Licensure Compact (IMLC)?

Yes, Washington joined the IMLC in 2018. Both the MD board (Medical Commission) and DO board (Board of Osteopathic Medicine and Surgery) participate. Eligible physicians can use the expedited pathway regardless of degree type.

What are the CME requirements for Washington physicians?

This depends on your board. MD physicians (Medical Commission): 200 hours per 4-year cycle with 120 Category 1. DO physicians (Osteopathic Board): 150 hours per 3-year cycle with 60 Category 1-A. Both require: 6 hours suicide prevention (one-time), 2 hours health equity (every 4 years), 1 hour opioid prescribing (one-time). MD also requires 7 hours AIDS education (one-time).

Does Washington have state income tax?

No, Washington has no state income tax, which significantly increases take-home pay for physicians compared to neighboring states like Oregon and California.

What is the total cost for a Washington medical license?

MD Board: $511 application + $996 biennial renewal. Total first-time costs $511-$1,000 including fingerprinting. DO Board: $391 application + $461 annual renewal. Total first-time costs $391-$850 including fingerprinting and verifications.

Why does Washington have two separate medical boards?

Washington is one of 12 states that maintains separate regulatory boards for allopathic (MD) and osteopathic (DO) physicians. The Medical Commission regulates MDs, while the Board of Osteopathic Medicine and Surgery regulates DOs. Both boards operate under the Department of Health and have equivalent licensing authority but different CME requirements and renewal schedules.

Can I hold both an MD and DO license in Washington?

This is uncommon as physicians typically hold only one medical degree type. However, if you hold both degree types, you would need to apply to the appropriate board for each credential and maintain separate licenses with different CME and renewal requirements for each.

Track Washington renewals in one tracker.

Keep requirements, documents, renewals, and proof visible before deadlines.