CallataGuides

Business phone system for physician practices in Washington

2,880 physician practices operated in Washington in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
2,880CBP 2023
Employees
60,579mid-March 2023
Per 100k residents
36.2U.S. 60.2
State rank
21st of 51by count

Physician practices in Washington by the numbers

County Business Patterns counts 2,880 establishments in Washington classified as Offices of Physicians (except Mental Health Specialists) (NAICS 621111) for 2023. They employed 60,579 people in mid-March and reported $6.4 billion in annual payroll. That is the 21st highest count among the 51 states and DC with published figures. Physician practices make up 1.4% of the 202,177 business establishments in the state.

Per 100,000 residents (2024 estimate) Washington has 36.2 physician practices, 39.8% below the national rate of 60.2. The average establishment has 21.0 employees against 13.2 nationally. Payroll per employee is $105,299, in line with the U.S. figure of $105,652.

Physician practices: Washington compared with the U.S., 2023
MeasureWashingtonUnited States
Establishments2,880204,617
Mid-March employees60,579 (moderate noise)2,706,297
Annual payroll$6,378,905,000 (moderate noise)$285,925,593,000
Employees per establishment21.013.2
Payroll per employee$105,299$105,652
Establishments per 100,000 residents36.260.2

Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.

Where physician practices in Washington are concentrated

Census published medical practice counts for 22 metro or micropolitan areas that include part of Washington. The largest is Seattle, WA, with 1,630 establishments. Single-state metro and micropolitan areas account for 94% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Physician practices by metro or micropolitan area, Washington, 2023
AreaEstablishmentsEmployeesPer 100k residents
Seattle, WA1,63037,42039.3
Portland, OR-WA1,06616,91442.0
Spokane, WA2314,88738.2
Kennewick, WA1703,33553.2
Olympia, WA1632,55453.8
Bellingham, WA1031,94743.8
Yakima, WA821,50931.7
Bremerton, WA7886727.7
Mount Vernon, WA581,22843.7
Centralia, WA3136535.6
Lewiston, ID-WA2973344.4
Port Angeles, WA2511332.1
Aberdeen, WA2420730.8
Oak Harbor, WA2313026.6
Wenatchee, WA19—15.0
Longview, WA18—15.8
Walla Walla, WA16—25.8
Moses Lake, WA129311.5
Ellensburg, WA9—18.7
Pullman, WA812716.5
Shelton, WA7—10.1
Port Townsend, WA5—14.7

Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.

Team sizes at physician practices in Washington

50.5% of Washington's physician practices with employees had fewer than five people in March 2023, compared with 52.7% nationally. 66.1% had fewer than ten. At that size the phone is shared, so routing (who rings, when, and what happens after hours) matters more than the number of desk phones.

Physician practices in Washington by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees1,45350.5%52.7%
5–9 employees45015.6%18.7%
10–19 employees39713.8%14.7%
20–49 employees35412.3%9.8%
50 or more employees2267.8%4.2%

Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.

Why the phone matters for physician practices in Washington

Physician offices field a steady stream of scheduling, prescription refill and test-result calls, and the same few staff members usually answer all of them. Routing calls to the right person and capturing clear messages keeps the waiting room and the phone lines moving. That holds for physician practices in Washington as much as anywhere.

Typical inbound and outbound calls for physician practices in Washington:

Business texting for physician practices

Practices typically text appointment reminders, arrival instructions and requests to call the office, keeping clinical details for secure channels.

Texting from a local number in Washington requires carrier registration (10DLC), a one-time $49 fee on Callata.

What a phone system costs a medical practice in Washington

Physician practices in Washington average 21.0 employees, so the comparison uses a 21-person team. On a per-user plan that headcount sets the bill: $523.95 a month on Ooma Office Pro or $630.00 on RingCentral RingEX Core at list price (checked September 28, 2026). Callata comes to $419.00 a month for 21 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $2,532 less than RingCentral for a medical practice in Washington of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Monthly list price for a 21-person medical practice
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$419.00$5,028.00
Quo (Starter)$19.00 per user$399.00$4,788.00
Nextiva (Core)$23.00 per user$483.00$5,796.00
Ooma (Office Pro)$24.95 per user$523.95$6,287.40
Dialpad (Standard)$27.00 per user$567.00$6,804.00
RingCentral (RingEX Core)$30.00 per user$630.00$7,560.00

Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.

Area codes in Washington

Washington has 6 geographic area codes in service according to NANPA. Callata includes up to 3 local numbers, so a medical practice can hold a number in more than one of them.

Area codes in Washington by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
360786Pacific1995564
509762Pacific1957none
206752Pacific1947564
425628Pacific1997none
253508Pacific1997none
56495Pacific2017206, 360

Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.

How Callata works for physician practices in Washington

For $99 a month, Callata puts a team of up to 5 on one plan ($20 for each person after that): up to 3 local numbers, unlimited inbound calls, a pooled allowance of 1,500 outbound US and Canada minutes per user, browser and cell calling, voicemail transcription with urgency triage, recorded calls with AI summaries and business-hours routing, with E911 on every number.

Porting a number you already use in Washington is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.

AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–9pm.

Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.

Frequently asked questions

How many physician practices are in Washington?

2,880 in 2023, according to Census County Business Patterns. They employed 60,579 people in mid-March.

Which Washington metro area has the most physician practices?

Seattle, WA, with 1,630 establishments in 2023.

What does a phone system cost a 21-person medical practice?

$630.00 a month on RingCentral RingEX Core or $523.95 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $419.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a Washington number?

Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.