Naturopathic doctors are licensed or registered as health care providers in Alaska, Arizona, California, Colorado, Connecticut, District of Columbia, Hawaii, Idaho, Kansas, Maine, Maryland, Minnesota, Montana, New Hampshire, North Dakota, Oregon, Utah, Vermont, Washington and the U.S. territories of Puerto Rico and the Virgin Islands. Legal provisions allow the practice of naturopathic medicine in several other states. Naturopathic doctors are also recognized in Alberta, British Columbia, Manitoba, Ontario, Nova Scotia and Saskatchewan.
Efforts to gain licensure elsewhere are currently under way. Forty-two states and territories in the United States have professional associations for naturopathic medicine. Canada has 11 provincial and territorial professional associations.