OR · Healthcare shortage profile
Clackamas County, OR
Home to 421,401 residents, with 13 active HRSA shortage designations.
- Active HPSAs
- 13
- Population
- 421,401
- Peak shortage score
- 20.0
- MUA Index
- 54.1
Heavy-burden verdict
According to current HRSA Data Warehouse records, Clackamas County ranks among the most underserved counties in the country - 13 active HPSA designations, more than 89% of the 3,289 real US counties, with primary care the deepest gap.
- 13
- Active HPSA designations
- 4
- Dental shortages
- 20
- Peak severity score (of 26)
- Top 11%
- US counties by volume
Clackamas County vs. every real US county
Total active HPSA designations, including counties with none
13 Top 11% higher than 89% of 3,289 real US counties
Each bar is a band; taller bars hold more real US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source HRSA Data Warehouse, designated HPSAs · 2026
State peer position. Clackamas County falls in the upper half of OR counties by active-designation volume, at rank 11 of 36. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 41005. Population: 421,401.
Medically Underserved Area
Peak severity scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need.
Highest-severity HPSA designations
All 13 active (designated) HPSAs in Clackamas County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| County OF Clackamas | dental | 20.0 |
| County OF Clackamas | mental_health | 18.0 |
| County OF Clackamas | primary_care | 16.0 |
| Adventist Health Tillamook Medical Group Estacada | mental_health | 16.0 |
| Orchid Health Wade Creek Clinic | mental_health | 16.0 |
| Adventist Health Tillamook Medical Group Estacada | dental | 14.0 |
| Adventist Health Tillamook Medical Group Estacada | primary_care | 13.0 |
| Orchid Health Wade Creek Clinic | primary_care | 13.0 |
| Legacy Medical Group - Firwood | primary_care | 13.0 |
| Legacy Medical Group - Firwood | mental_health | 13.0 |
| Legacy Medical Group - Firwood | dental | 13.0 |
| Orchid Health Wade Creek Clinic | dental | 13.0 |
| Eastern Clackamas | primary_care | 12.0 |
Heavy-burden reading for Clackamas County
Dental care carries Clackamas County's deepest shortage reading, 20.0 on HRSA's 0–26 dental scale, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 16.0 of 25; Mental health reads 18.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 54.1, and the lower the index, the greater the measured need.
Volume places Clackamas County above 89% of real US counties (13 active designations: 5 primary care, 4 mental health, 4 dental). Peak severity on the current designated set is 20.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.
Clackamas County falls in the upper half of OR counties by active-designation volume, at rank 11 of 36. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.
Clackamas County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Mental health
Mental health
4 designations
- Dental
Dental
4 designations
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Clackamas County, OR · 2026 HRSA designation data updated quarterly; HPSA scores 0-25 (primary/mental) and 0-26 (dental); higher = greater shortage severity. Coverage tiers from U.S. Census ACS PUMS + KFF state tracker.
Acting on a heavy-burden county
Clackamas County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Clackamas County's 13 active designations make providers here eligible for National Health Service Corps loan repayment, estimate the award and service terms. NHSC estimator
- See how the county's primary care burden compares with the rest of OR before you draw conclusions from a single score. OR overview
- Check whether an area clears HRSA's 3,500:1 population-to-provider threshold with the provider-to-population ratio behind an HPSA score. HPSA ratio checker
HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.
Counties With a Similar Dental Shortage Score
Other U.S. counties whose active HRSA dental HPSA score is closest to Clackamas County's 20.0. This compares the designation score only, not local appointment availability or care quality.
Frequently Asked Questions
Is Clackamas County a Medically Underserved Area?
Yes, Clackamas County is designated as a Medically Underserved Area (MUA) by HRSA. The MUA Index for this county is 54.1. MUA designation qualifies the area for enhanced federal funding and provider incentive programs.
How many healthcare shortage areas does Clackamas County have?
Clackamas County, OR has 13 Health Professional Shortage Area designations: 5 in primary care, 4 in mental health, and 4 in dental care, according to HRSA data.
What does Clackamas County's HPSA score of 20.0 mean?
20.0 in dental care clears 17, HRSA's high-priority line, which is what makes providers here eligible for NHSC placement and enhanced reimbursement.
What healthcare providers are needed in Clackamas County?
Based on HRSA shortage designations, Clackamas County needs additional providers in primary care (family physicians, internists, pediatricians), mental health (psychiatrists, psychologists, clinical social workers), and dental care (dentists, dental hygienists). The National Health Service Corps offers loan repayment and scholarship programs for providers who serve in designated shortage areas.
Which federal programs do Clackamas County's designations unlock?
Clackamas County's 13 active designations open NHSC placement, Community Health Center grants, the Medicare bonus and J-1 waivers, but eligibility follows the designated area and provider type, not the county line.
How does Clackamas County compare to other counties in OR?
Clackamas County has 13 total HPSA designations with a peak shortage score of 20.0. You can compare shortage levels across all counties in OR on the state overview page, or view national county rankings to see where Clackamas County stands relative to the rest of the country.
Learn More About Healthcare Shortages
Source: HRSA Data Warehouse. FIPS: 41005. PlainHealthAccess is not affiliated with HRSA or any government agency.
Disclaimer: This information is provided for informational purposes only and does not constitute professional advice. Data is sourced from the HRSA Data Warehouse. Consult a qualified professional before making decisions based on this data.
Read our methodology - how this data is sourced, computed, and verified.