Medical director requirement
Required for delegated procedures; physician must oversee
Corporate Practice of Medicine
Lenient; MSO/management structures permitted This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.
Who can supervise or delegate
NP/PA may inject under physician collaboration; independent practice not clearly permitted
How the exam ties in
Required; in-person or telehealth allowed with physician oversight
What to verify in Washington
Verify RN delegation scope with Washington State Board of Nursing and establish clear protocols for physician oversight of all injections.
Primary source: Washington Medical Commission; Washington State Board of Nursing
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.