Ownership rules

Non-physicians via MSO/management structure; physician-owned also permitted

Corporate Practice of Medicine

Lenient; MSO/management structures permitted

The medical-director angle

Required for delegated procedures; physician must oversee Ownership and the medical-director requirement are usually two sides of the same compliance coin.

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.

See the full Washington regulation profile →