WashingtonAcupuncturist License Requirements

Prerequisite Education

Minimum 45 academic credits in western science plus CPR

Acupuncture education typically requires a Master's degree or higher from an ACAOM (Accreditation Commission for Acupuncture and Herbal Medicine) accredited program. Programs range from 1,905 to 2,625+ hours depending on whether herbal medicine is included. Clinical training is a significant component of all programs.

NCCAOM Exam Modules

Retake Policy

Per NCCAOM retake policies

The NCCAOM (National Certification Commission for Acupuncture and Oriental Medicine) administers certification exams in multiple modules including Acupuncture with Point Location, Foundations of Oriental Medicine, Biomedicine, and Chinese Herbology. Most states accept NCCAOM certification, though California uses its own California Acupuncture Licensing Examination (CALE) instead.

Dry Needling Scope Conflict

Washington has not explicitly authorized PT dry needling; acupuncturists maintain needling is within their scope

Restricted Activities

Acupuncturist scope of practice varies widely by state. Some states include herbal medicine, injection therapy, and a broad range of traditional Chinese medicine modalities. Others have narrower scopes limited to needling. The dry needling turf battle between acupuncturists and physical therapists continues in many states.

Herbal medicine scope varies significantly by state. Some states include Chinese herbal medicine within the standard acupuncture license, while others require a separate certification or endorsement. Programs that include herbal medicine typically require additional training hours (often 450–660 additional hours) beyond the base acupuncture curriculum.

CE Topics

Regulatory Board

Acupuncturist licenses typically renew biennially. NCCAOM requires 60 PDA (Professional Development Activity) points per 4-year recertification cycle. State CE requirements vary and may include mandatory topics such as safety, ethics, clean needle technique review, and pharmacology/drug interactions.

NCCAOM Portability

NCCAOM certification is required and accepted for licensure

Requirements

• NCCAOM certification in good standing
• Submit application with verification of credentials
• Pay applicable fees

NCCAOM certification provides strong national portability for acupuncturists. Most states that license acupuncturists accept NCCAOM certification as meeting exam requirements. California is a notable exception, requiring its own CALE exam. Some states may require additional documentation, supervised practice hours, or state-specific jurisprudence exams for out-of-state applicants.