How Do I Become a Naturopathic Doctor?

May 19, 2025

Becoming a Naturopathic Doctor in Canada is a lengthy and challenging process. Since Naturopathic Medicine is a regulated profession in Ontario and most Canadian provinces, there are a number of very specific requirements that need to be fulfilled in order to be eligible for licensure as a Naturopathic Doctor.


Accredited Education and Licensing Pathway for Naturopathic Doctors

To become a Naturopathic Doctor, one must enroll in an accredited Naturopathic medical college. There are only six accredited naturopathic medical colleges in Canada and the United States and they are accredited by the Council of Naturopathic Medical Education (CNME), which is the independent accrediting agency for doctoral programs in naturopathic medicine (ND programs) in the U.S. and Canada.

Graduation from a CNME accredited ND program qualifies an individual to take the NPLEX licensing exam and to become a licensed naturopathic physician in the U.S. and Canadian states and provinces where naturopathic medicine is regulated. The CNME uses robust and detailed quality assurance standards to ensure that Naturopathic medical education is standardized and of very high quality.

Educational and Clinical Training Requirements for Naturopathic Doctors

To gain acceptance to a naturopathic medical college, the minimum requirement is to have completed a university bachelor's degree including specific science, psychology and social science courses. And then once accepted to a naturopathic medical college, to successfully complete the program, it will require passing all four years of full time study, including a 12 month long clinical internship.

During the academic portion of the program, students will learn a very detailed yet comprehensive curriculum which includes the basic medical sciences, pathology, differential diagnosis, pharmacology, and the naturopathic treatment modalities, which include nutrition, botanical medicine, homeopathy, acupuncture and lifestyle medicine. During the one year clinical internship, students will work under the supervision of a licensed and experienced naturopathic doctor to provide care to patients at a teaching clinic.

After completing the four years of study and having graduated from an accredited naturopathic medical school, there are still additional requirements before officially becoming a Naturopathic Doctor.

Steps to Becoming a Naturopathic Doctor

Complete a bachelor’s degree with a science, psychology and social science course

Gain acceptance to an accredited naturopathic medical college

Graduate from a full-time four-year naturopathic medical college

Successfully pass board examinations

Apply to the regulator for licensure as a Naturopathic Doctor

Maintain Naturopathic licensure with continuing education, insurance, etc.

Licensing, Board Examinations and Ongoing Requirements for Naturopathic Doctors

A graduate of an accredited naturopathic medical college will still need to complete a lengthy series of board exams to apply to become legally licensed as a naturopathic doctor. These board exams called; NPLEX (Naturopathic Physicians Licensing Examinations) are administered is an independent, nonprofit organization whose purpose is to prepare valid and reliable biomedical science examinations (Part I) that assess the readiness of students to enter the clinical phase of training, and clinical science examinations (Part II) that evaluate the entry level competence of candidates who plan to become licensed/registered naturopathic physicians.

The purpose of NPLEX is to provide excellent board examinations that are reliable and will provide a valid assessment of a candidate’s readiness to be a safe practitioner. Then, after successfully passing the NPLEX, all the requirements to apply for licensure are complete. The application for licensure is made with the regulator of the jurisdiction where the naturopathic practice will operate. Once the regulator grants the application, then one can officially call themself a Naturopathic Doctor.

And once the licensure is given, it will also need to be maintained by adhering to the requirements set by the regulator, such as conducting a certain amount of continuing education or professional development on an annual basis and maintaining up to date malpractice insurance.

The Rigorous Path to Becoming a Licensed Naturopathic Doctor in Canada

Becoming a licensed Naturopathic Doctor in Canada is a rigorous and multi step process that demands academic excellence, clinical competency and a commitment to lifelong learning. From meeting stringent admission prerequisites and completing four years of intensive study, to passing national licensing exams and meeting provincial regulatory standards, the path to licensure reflects the seriousness and professionalism of the naturopathic medical profession.

This comprehensive training ensures that licensed Naturopathic Doctors are well equipped to provide safe, effective and evidence informed care to their patients. For those passionate about holistic health and dedicated to making a difference, the journey, though demanding, is enriching.

Ready to start your journey toward a rewarding career in naturopathic medicine? Connect with Aspire Natural Health for guidance on accredited programs, exam preparation and licensure requirements. Whether you’re a new student or an internationally trained graduate, our team can help you take the next step. Reach out today to begin your path to becoming a licensed Naturopathic Doctor!

Frequently Asked Questions (FAQs)

1. What are the basic educational requirements to become a licensed Naturopathic Doctor in Canada?

You need to complete a university bachelor’s degree with specific science, psychology and social science courses, then graduate from a four-year, full time program at a CNME accredited naturopathic medical college, including a 12 month clinical internship.

2. What is the NPLEX and why is it required?

The Naturopathic Physicians Licensing Examinations (NPLEX) are standardized board exams that assess biomedical and clinical sciences. Passing the NPLEX is mandatory for licensure in regulated provinces and states in Canada and the U.S.

3. Which provinces in Canada regulate naturopathic doctors?

As of 2025, naturopathic medicine is regulated in six provinces (Ontario, British Columbia, Alberta, Saskatchewan, Manitoba and Nova Scotia) and one territory (Northwest Territories). Each has its own regulatory authority and licensing requirements.

4. Do internationally trained doctors need to follow the same process?

International Medical Graduates (IMGs) must have their credentials assessed. They may need to complete additional training, such as the IMG Bridge Delivery Program at the Canadian College of Naturopathic Medicine, before being eligible for licensure and the NPLEX.

5. What ongoing requirements must licensed NDs meet?

Licensed NDs must maintain their registration by completing continuing education, maintaining malpractice insurance and adhering to professional standards set by their provincial regulator.


Conclusion

Becoming a licensed Naturopathic Doctor in Canada is a demanding, multi step process that ensures practitioners are well trained and competent. From earning a relevant bachelor’s degree and graduating from a CNME accredited naturopathic medical college to passing the NPLEX and meeting provincial regulatory standards, each step is designed to uphold high standards of safety and professionalism.

Ongoing education and regulatory compliance further guarantee that licensed NDs provide effective, evidence informed care. This rigorous pathway reflects the seriousness and value of the naturopathic profession in Canada’s healthcare system.

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Written By: Dr. Romi Raina ND
Call or Text: 905-426-9116
Email: info@aspirenaturalhealth.ca

About the Author

Dr. Romi Raina is a Toronto-based Naturopathic Doctor with nearly two decades of experience in holistic healthcare. Specializing in integrating natural therapies, he offers virtual consultations in dietary management, botanical medicine, and lifestyle counseling. Dr. Raina's unique approach combines scientific knowledge from his degrees in Life Sciences and Anthropology with insights from his service in the Canadian Armed Forces. As founder of Collaborative Education, he's committed to advancing naturopathic knowledge, embodying his philosophy that naturopathy helps patients thrive, not just survive.

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