Scope of Practice

Naturopathic physicians (NDs) are trained to provide primary care and/or naturopathic specialty care in outpatient settings. NDs see patients with acute and chronic conditions and employ all standard conventional diagnostic tools including physical examination, laboratory tests, and imaging. NDs may utilize additional physical and laboratory procedures to assess nutritional status, metabolic function, and/or toxic load, while considerable time may also be spent assessing mental, emotional, social and spiritual status to assure any treatment plan is comprehensive.

NDs use a variety of therapies to promote health and treat disease including: dietetics, therapeutic nutrition, botanical medicine, physical medicine, naturopathic manipulative therapy, lifestyle counseling, exercise therapy, homeopathy, psychological and family counseling, and hydrotherapy. NDs can perform minor office procedures appropriate to a primary care setting, administer vaccinations, and prescribe some standard drugs when indicated. Like other primary doctors, NDs can delegate to nurses and medical assistants and refer for specialty care when appropriate.

For more information on naturopathic scope of practice including ND prescriptive authority in Washington State please visit the following links:

Washington State Law Governing Naturopathic Medicine
Authority to use, prescribe, dispense and order (WAC 246-836-210)
Washington State ND Legend Substance List
Washington State Department of Health Naturopathy Program