Physician Mortgage in Seattle, WA — 0% Down, No PMI, Student Debt Excluded

Physician home loan Seattle programs are among the most valuable mortgage products available to medical professionals in the United States — and the Seattle metro demands them. Median home prices north of $850,000 in the core city make a conventional 20% down payment $170,000+, which most residents, fellows, and new attendings simply don't have.

Physician mortgage loans solve this. Zero down payment. No private mortgage insurance (PMI). Interest rates slightly elevated over conventional, but the math works — PMI on a $700,000 conventional loan at 5% down runs $400-$550/month, versus a doctor mortgage loans rate premium of roughly $220/month on the same balance. You come out ahead every month.

Seattle is anchored by major academic medical centers including UW Medical Center, Swedish Medical Center, Virginia Mason, and Harborview Medical Center. Zack closes physician mortgage loans for residents, fellows, doctors, dentists, clinical professors, and researchers across all four systems. Interns, residents, fellows, doctors, dentists, clinical professors, researchers — every medical credential the program accepts.

The physician home loan program accepts the full credential list: doctor of medicine (MD), doctor of osteopathic (DO), doctor of dental surgery (DDS), doctor of dental medicine (DMD), and more. Whether your degree reads MD, DDS, DMD, or DO, the underwriting treats you the same way — student loan debt excluded from DTI, future income used based on your attending contract.

Capitol Hill, Queen Anne, and Wallingford remain the highest-demand physician neighborhoods given commute times to UW Medical Center and Harborview. Bellevue and Tacoma offer stronger value for those willing to commute. All physician mortgage loans in Seattle are primary residence only — rental and investment property purchases require a separate loan product (typically DSCR).

The Seattle housing market has cooled slightly from its pandemic peak, giving buyers in 2026 the best negotiating leverage in five years. Interest rates on physician mortgage loans currently range from 0.25-0.75% above conventional — a premium that is often completely offset by the elimination of PMI.