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    DPC Legislation Enacted
    Independent DPC

    Direct Primary Care in Washington.

    7 physician-owned practices operating on the Freedom Practice System in Washington.

    Statewide Coverage

    Join 7 physicians already running Freedom Practice System practices in Washington.
    145+ active practices across 38 states and Washington, DC; launch support is available nationwide.

    The DPC Landscape in Washington

    A Direct Primary Care launch in Washington uses the same core business model as any other market, but entity, professional-practice, contract, tax, prescribing, telehealth, dispensing, and payer rules may differ. Confirm current requirements with licensed professionals before relying on this page.

    Market context: Validate the Washington opportunity with current local research: target population, competing membership and cash-pay practices, employer geography, pricing tolerance, referral patterns, site costs, and a conservative enrollment model. State or regional generalizations are not a substitute for that work.

    Healthcare challenge: Primary care access and workforce conditions vary within Washington and change over time. Use current HRSA, Census, state-agency, and local health-system data to define the need. DPC may improve access for a specific population, but it does not by itself guarantee affordability, coverage, or a sustainable practice.

    Methodology: This section avoids unsupported state-market conclusions. Validate current access and workforce conditions with HRSA shortage-area data and current state and local sources. The practice directory below is Freedom Healthworks company data.

    Active Practices in Washington

    7 physician-owned practices across 2 cities.

    Kirra Health
    CamanoOB/GYN
    Goodmed Direct Primary
    SeattlePrimary Care
    Dr. Roth MD
    SeattleFamily Medicine/PANS
    Lumen Endocrinology
    SeattleEndocrinology
    Artemis Life Medicine
    SeattleInternal Medicine
    Jade Internal Medicine
    SeattleInternal Medicine
    Sequoia Project
    SeattleInternal Medicine
    Specialties:EndocrinologyFamily Medicine/PANSInternal MedicineOB/GYNPrimary Care

    Washington DPC Regulatory Status

    DPC Legislation Enacted
    Rev. Code Wash. § 48.150
    Agreement Requirements
    The direct practice must charge a direct fee on a monthly basis representing the total amount for all specified primary care services. Patients can be billed in advance, but unearned fees must be promptly refunded on a prorated basis upon termination. Additional fees may be charged for supplies, medications, and vaccines excluded under the agreement with prior notice.
    Advance Billing
    Permitted on a monthly basis. If a patient pays more than one month in advance, the funds must be held in a trust account and paid as earned. Unearned fees must be refunded upon termination.

    This summary reflects publicly available information and may not reflect current law. Consult licensed legal counsel for state-specific guidance.

    How to Start a DPC Practice in Washington

    Launching a Direct Primary Care practice in Washington follows the same proven framework used across 38 states and Washington, DC, adapted for local regulations, market conditions, and patient demographics. The typical timeline is 3–6 months from entity formation to opening day.

    • Form your LLC/PLLC and obtain Washington-specific business licenses
    • Secure malpractice insurance and comply with Washington DPC regulations
    • Select your location, set up EHR, and launch your marketing
    • Begin enrolling patients and pursuing employer contracts

    Cost of Starting a DPC Practice in Washington

    Freedom's three planning scenarios model $55,000-$180,000+ in physician-funded startup capital, depending on space, build-out, equipment, staffing, and runway. These are planning models, not an industry-average claim. Local lease rates, build-out requirements, and licensing fees in Washington can move the model.

    $55K

    Lean Launch

    $110K

    Standard

    $180K

    Multi-Provider

    In Freedom's lean solo planning models, operating break-even often falls around 120-160 active members and roughly months 6-12. Higher-overhead and multi-provider builds can take longer; this is not a promised outcome. Market conditions in Washington can move that timeline.

    Frequently Asked Questions

    Is Direct Primary Care legal in Washington?

    Yes. Washington has enacted DPC-specific legislation (Rev. Code Wash. § 48.150). DPC agreements are explicitly defined and exempt from insurance regulation.

    How many DPC practices are in Washington?

    Freedom Healthworks currently supports 7 active practices in Washington. Nationally, we've launched 165+ practices across 38 states and Washington, DC.

    How do I start a DPC practice in Washington?

    The Freedom Practice System supports physicians launching DPC practices in every U.S. state. The launch program runs roughly 16 weeks and includes business planning, compliance coordination, technology setup, and a full marketing launch. Schedule a consultation to discuss your Washington launch.

    Ready to Practice DPC in Washington?

    Schedule a free consultation to discuss your goals and timeline.