Currently, 11 states and Puerto Rico have licensing laws for naturopathic doctors. In these states, naturopathic doctors are required to graduate from a four-year, residential naturopathic medical school and pass an extensive postdoctoral board examination in order to receive a license. Licensed naturopathic physicians must fulfill state-mandated continuing education requirements annually, and will have a specific scope of practice defined by their state's law. The states that currently have licensing laws for naturopathic physicians are as follows:

Alaska Arizona Connecticut
Hawaii Maine Montana
New Hampshire Oregon Utah
Vermont Washington