Updated for 2025 by Megan Burbank
Previous reporting by Megan Burbank, Jessie McKenna, and Marti McKenna
Between the U.S. Supreme Court's ruling in Dobbs v. Jackson Women's Health, anti-abortion restrictions that preceded it and followed, and the looming second presidency of Donald Trump, who once bragged about being "able to kill Roe v. Wade," it can be a challenging time to be a person seeking abortion care. But Washington was already diverging from national trends toward anti-abortion legislation before Roe was overturned, and since Dobbs, that contrast has only deepened.
Since Dobbs, elected officials in Washington have passed a suite of new laws reinforcing reproductive rights in Washington State, including a law protecting providers and patients from out-of-state prosecutions, a $21 million investment in abortion care infrastructure, a law shielding private health data, a law prohibiting cost-sharing for abortion on some private health plans, and a law authorizing the state to distribute a three-year supply of the abortion pill mifepristone.
While a lawsuit jeopardizing access to mifepristone made its way to the U.S. Supreme Court — where it was tossed out — Attorney General Bob Ferguson, now Washington's governor-elect, is suing the FDA for expanded access to the drug.
Washington is also on its way to becoming the state with one of the highest Medicaid reimbursement rates for doulas, whose support is crucial in combating the Black and Brown perinatal health crisis, and has long been out of reach for pregnant people without the resources to pay for it out of pocket.
In Washington, the right to an abortion is part of our state's legal code, coverage for abortion is available whether you're on state Medicaid or private insurance, and now that abortion access is on the radar among more lawmakers in our city and state than it ever has been, new policies will likely be introduced at the state and municipal levels to preserve and improve access.
We're not alone in this: In the 2024 election alone, seven states passed legislative protections for abortion access, including Missouri. With each passing ballot initiative, popular support for abortion is becoming increasingly obvious. But that hasn't stopped other states from moving to ban and restrict abortion in the wake of Roe's reversal, and that's straining Northwest providers. It means patients here may encounter delays in care; in 2022 and 2023, Washington providers reported increases in the number of patients they served, many traveling from other states like nearby Idaho, where abortion is now banned. And long before the loss of Roe v. Wade, it was already commonplace for patients to travel into Washington from other states for care — and even out of Washington to nearby Oregon for abortions beyond Washington's gestational limit.
The past several years have been a fluid, complex time for abortion access — especially if you just want to get care for yourself or someone you love.
That's where this guide comes in. According to data from reproductive health policy research organization the Guttmacher Institute, there were 37 abortion clinics in Washington State in 2020. This guide is a resource for finding the one nearest you, with information on available procedures, whether you're seeking a procedural abortion or a prescription for abortion pills, plus accessibility, financial support, and additional resources you might need to get to your appointment, whether that means a ride to the clinic or getting matched with a primary care provider for future care during your visit.
When it comes to reproductive health care, there's no shortage of misinformation: Stigma tends to have a dramatizing effect, and anti-abortion policies and organizations are built on debunked claims about reproductive health. But patients deserve information rooted in evidence-based medicine and real data, not fearmongering myths — and it's especially important now, when the absence of Roe has flung so many into confusion over what's legal and where. (Need advice on that? Call the Repro Legal Helpline, operated by reproductive justice law group If/When/How, at 844-868-2812.)
We hope this guide will help cut through some of that noise and find the care you need. But before we get to the list of providers, here are some key facts about abortion.
Abortion is safe. In a review of 57 studies on vacuum aspiration, one of the most common abortion procedures, the reproductive rights NGO Ipas found a major complication rate of under 1%. Medication abortion, which is induced by pills (misoprostol and mifepristone) rather than a surgical procedure, is also safe, with serious complications occurring in under 0.4% of procedures, according to Guttmacher. If you have additional questions about abortion and reproductive health care in Washington, more information is available through the Department of Health.
It is normal to have an abortion, and many patients who do are already parents. According to Guttmacher, about 1 in 4 women will have an abortion by the time they reach age 45, and the majority of abortion patients already have at least one child. In 2014, Guttmacher reported that over half of people who had abortions were in their 20s, 75% were low-income or had incomes below the federal poverty line, and 51% reported using birth control the month they became pregnant.
It's not just women who have abortions. Anyone who can get pregnant may need an abortion at some point in their lives, including transgender men and nonbinary patients. That's why we have included information on trans inclusivity for each clinic on this list. Several also provide gender-affirming health care services in addition to abortion and birth control.
For abortions up to 11 weeks of pregnancy, medication abortion is a private, increasingly popular option. Northwest clinics can also accommodate abortions later in pregnancy. In 2023, 63% of all abortions were medication abortions, which, instead of surgery, use two medications to end a pregnancy. Most of the providers we surveyed offer medication abortion to end pregnancies of up to 11 weeks of gestation. Because of a rule change from the Food and Drug Administration (FDA) under the Biden administration, you may even be able to receive medication abortion pills through the mail. Many of the clinics on this list provide telehealth counseling for medication abortion. If your pregnancy is further along than 11 weeks, you'll likely have a procedural abortion. Seattle-area clinics have different limits on how long into pregnancy they offer abortion; some provide abortion care up to 26 weeks and six days of gestation. But most abortions take place much earlier. According to surveillance data from the Centers for Disease Control and Prevention, 92.2% of abortions provided in 2018 occurred at or before 13 weeks of gestation.
In Washington, Medicaid and private insurance both cover abortion. While the Hyde Amendment has banned federal Medicaid funds from covering abortion procedures since 1977, states have their own Medicaid funds, and Washington is one of 16 that cover most abortions under Medicaid. If you have private insurance, your procedure is also likely to be covered under the Reproductive Parity Act, a law requiring private insurance plans that cover maternity care to also cover abortion. If you don't have private insurance or qualify for Medicaid, your clinic may be able to help. Abortion funds, like the Northwest Abortion Access Fund, can also provide assistance with paying for the procedure and may be able to help with logistical challenges, like travel and lodging if you're coming from out of town.
Anti-abortion policies disproportionately impact low-income people and communities of color. Remember the Hyde Amendment? It was introduced by Congressman Henry Hyde just a few years after Roe v. Wade was decided. Hyde explained that the ban on Medicaid funds for an abortion was an effort to keep poor people from having abortions. "I certainly would like to prevent, if I could legally, anybody having an abortion, a rich woman, a middle-class woman, or a poor woman," he said. "Unfortunately, the only vehicle available is the … Medicaid bill."
Today, a similar dynamic is in play in states like Texas, whose pre-Dobbs six-week ban sent patients — the ones who could afford it — as far as Seattle for care. With the reversal of Roe v. Wade, even more pregnant people have been forced by abortion-hostile policies to travel to states like Washington. But not everyone has that option, which means people without the resources to travel may end up having to self-manage their abortions or carry unwanted pregnancies to term, which research shows can lead to financial insecurity and negative health outcomes.
This guide is intended to address some of these gaps in access by providing accurate information on abortion care, resources, and support throughout the Seattle area. We hope it helps you find the care you need, delivered with compassion, respect, and evidence-based medicine. If you're seeking an abortion, you deserve nothing less.
Insurance accepted? Yes
Financial aid available? Yes, and sliding-fee scale for birth control and financial assistance for patients seeking abortion care without insurance
How early/late can you get an abortion here? Earliest: Positive pregnancy test; Latest: 24 weeks
Does this clinic serve the transgender community? Yes
Can you get a medication abortion (abortion pill) here? Yes, up to 11 weeks
Languages accommodated? Most languages accommodated
Wheelchair accessible? Yes
Travel assistance? Helps patients access funding that covers travel
14730 NE 8th St.
Bellevue, WA 98007
800-769-0045
723 NE Riddell Road, Suite A
Bremerton, WA 98310
800-769-0045
2001 Madison St.
Seattle, WA 98104
800-769-0045
1509 32nd St.
Everett, WA 98201
800-769-0045
1105 S. 348th St., Suite B103
Federal Way, WA 98003
800-769-0045
19505 76th Ave. W., #200
Lynnwood, WA 98036
800-769-0045
10210 State Ave.
Marysville, WA 98271
800-769-0045
402 Legion Way SE, Suite 201
Olympia, WA 98501
800-769-0045
1200 N. Northgate Way
Seattle, WA 98133
800-769-0045
702 30th Ave. SW
Puyallup, WA 98373
800-769-0045
1515 Martin Luther King Jr. Way
Tacoma, WA 98405
800-769-0045
9942 8th Ave. SW
Seattle, WA 98106
800-769-0045
Insurance accepted? Yes
Financial aid available? Yes, and sliding-fee scale offered
How early/late can you get an abortion here? Earliest: Ultrasound confirmation; Latest:27.6 weeks with patient consultation
Does this clinic serve the transgender community? Yes
Can you get a medication abortion (abortion pill) here? Yes, up to 11 weeks — available in-clinic or through telemedicine, with pills mailed or picked up
Languages accommodated? Most languages accommodated
Wheelchair accessible? Yes
Travel assistance? Local transportation provided
Extras: Free parking at Renton and Tacoma locations, AAAHC-accredited (clinics meet quality standards set by the Accreditation Association for Ambulatory Health Care)
601 Carr Road, Suite 200
Renton, WA 98055
800-572-4223
1401-A Martin Luther King Jr. Way
Tacoma, WA 98405
800-572-4223
Insurance accepted? Yes
Financial aid available? Yes
How early/late can you get an abortion here? Earliest: Ultrasound confirmation (or per provider); Latest: Per provider to the full extent of Washington State law (if a procedure is not available at a specific UW clinic, referrals are also available)
Does this clinic serve the transgender community? Yes
Can you get a medication abortion (abortion pill) here? Yes
Languages accommodated? Most languages accommodated
Wheelchair accessible? Yes
Travel assistance? No
Extras: Assistance with signing up for Washington Apple Health, connecting patients with primary care providers and services. Abortion counseling, scheduling, and assistance with logistical support are available through the Washington Reproductive Access Alliance, reachable at 206-597-0400, on a line staffed by a care team from 8 a.m. to 5 p.m. Monday through Friday.
4245 Roosevelt Way NE, 4th Floor
Seattle, WA 98105
206-520-5000
314 NE Thornton Place
Seattle, WA 98125
206-520-5000
Patricia Steel Building, 401 Broadway, Suite 2075
Seattle, WA 98104
206-520-5000
1959 NE Pacific St.
Seattle, WA 98195
206-520-5000
Insurance accepted? Yes
Financial aid available? Yes
How early/late can you get an abortion here? Earliest: Positive pregnancy test and ultrasound confirmation; Latest: 26 weeks and six days
Does this clinic serve the transgender community? Yes
Can you get a medication abortion (abortion pill) here? Yes, up to 11 weeks
Languages accommodated? Most languages accommodated
Wheelchair accessible? Yes
Travel assistance? Can facilitate local transportation
Extras: Hotel discount for out-of-town patients
9730 3rd Ave. NE, Suite 200
Seattle, WA 98115
206-985-9553
Insurance accepted? Yes
Financial aid available? Yes
How early/late can you get an abortion here? Earliest: Positive pregnancy test and ultrasound confirmation; Latest: Through 26 weeks
Does this clinic serve the transgender community? Yes
Can you get a medication abortion (abortion pill) here? Yes
Languages accommodated? Most languages accommodated
Wheelchair accessible? Yes
Travel assistance? No
Extras: Military discount, sedation available
34617 11th Place S., Suite 302
Federal Way, WA 98003
253-471-3464
While we've made every effort to update this list thoroughly for 2025, please let us know if you see a clinic or service missing from the list. And if you or someone you know has experienced particular challenges or discrimination at any local abortion clinics (or with any particular providers), the Emerald wants to hear from you. You can reach us at Info@SouthSeattleEmerald.com.
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