OR · Healthcare shortage profile
Multnomah County, OR
Home to 815,428 residents, with 48 active HRSA shortage designations.
- Active HPSAs
- 48
- Population
- 815,428
- Peak shortage score
- 26.0
- MUA Index
- 52.5
The verdict
Multnomah County ranks among the most underserved counties in the country — 48 active HPSA designations, more than 99% of the 2,991 US counties with a designated shortage, with dental the deepest gap.
- 48
- Active HPSA designations
- 15
- Primary-care shortages
- 26
- Peak severity score (of 26)
- Top 1%
- US counties by volume
Healthcare shortage designations from HRSA. FIPS: 41051. Population: 815,428.
Multnomah County, OR (population 815,428) has 15 primary care, 16 mental health, and 17 dental Health Professional Shortage Area designations active according to HRSA. The county is also designated a Medically Underserved Area (MUA) with an MUA Index of 52.5. Shortage severity scores and individual HPSA designations are detailed below.
HPSA Scores
Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need.
Medically Underserved Area
Multnomah County vs. every US county
Total active HPSA designations — how this county's shortage volume compares nationally
48 Top 1% higher than 99% of 2,991 US counties
Each bar is a band; taller bars hold more 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
Highest-severity HPSA designations
Showing the 40 most-severe of 48 active (designated) HPSAs in Multnomah County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| CENTRAL CITY CONCERN | dental | 26.0 |
| Multnomah County | dental | 26.0 |
| THE WALLACE MEDICAL CONCERN | dental | 24.0 |
| OREGON HEALTH & SCIENCE UNIVERSITY | dental | 24.0 |
| THE NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INCORPORATED | dental | 24.0 |
| OUTSIDE IN | dental | 24.0 |
| CASCADIA HEALTH | dental | 23.0 |
| Multnomah County | mental_health | 21.0 |
| OREGON HEALTH & SCIENCE UNIVERSITY | mental_health | 21.0 |
| Multnomah County | primary_care | 20.0 |
| THE WALLACE MEDICAL CONCERN | primary_care | 20.0 |
| THE WALLACE MEDICAL CONCERN | mental_health | 20.0 |
| NARA of the Northwest, Inc. - Dental Clinic | dental | 20.0 |
| CENTRAL CITY CONCERN | primary_care | 19.0 |
| THE NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INCORPORATED | mental_health | 19.0 |
| NARA of the Northwest, Inc. - Indian Health Clinic | mental_health | 19.0 |
| NARA of the Northwest, Inc. - Dental Clinic | mental_health | 19.0 |
| NARA of the Northwest, Inc. - Indian Health Clinic | dental | 19.0 |
| THE NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INCORPORATED | primary_care | 18.0 |
| OUTSIDE IN | primary_care | 18.0 |
| OREGON HEALTH & SCIENCE UNIVERSITY | primary_care | 18.0 |
| LI - Inner Portland | dental | 18.0 |
| NARA of the Northwest, Inc. - Dental Clinic | primary_care | 17.0 |
| NARA of the Northwest, Inc. - Indian Health Clinic | primary_care | 17.0 |
| CENTRAL CITY CONCERN | mental_health | 17.0 |
| CASCADE AIDS PROJECT | dental | 17.0 |
| CASCADIA HEALTH | primary_care | 16.0 |
| OUTSIDE IN | mental_health | 16.0 |
| LI-East Portland | dental | 16.0 |
| NARA of the Northwest, Inc. â Totem Lodge | primary_care | 15.0 |
| NARA of the Northwest, Inc. - Wellness Center | primary_care | 15.0 |
| CASCADE AIDS PROJECT | primary_care | 15.0 |
| NARA of the Northwest, Inc. - Outpatient Treatment Center | primary_care | 15.0 |
| NARA of the Northwest, Inc. - Oyate Behavioral Health | primary_care | 15.0 |
| NARA of the Northwest, Inc. â Tate Topo | primary_care | 15.0 |
| NARA of the Northwest, Inc. - Oyate Behavioral Health | mental_health | 15.0 |
| NARA of the Northwest, Inc. â Tate Topo | mental_health | 15.0 |
| NARA of the Northwest, Inc. - Wellness Center | mental_health | 15.0 |
| NARA of the Northwest, Inc. - Outpatient Treatment Center | mental_health | 15.0 |
| NARA of the Northwest, Inc. â Totem Lodge | mental_health | 15.0 |
What the HRSA Data Shows for Multnomah County
Multnomah County, OR — population 815,428 carries 48 active Health Professional Shortage Area designations in the HRSA Data Warehouse: 15 in primary care, 16 in mental health, and 17 in dental. The county is also flagged as a Medically Underserved Area, scoring 52.5 on the MUA Index (lower scores indicate greater need). These three HPSA categories are evaluated independently by HRSA, so a county can show heavy pressure on one axis — for example mental-health access — while remaining closer to the provider ratio threshold for primary care.
The county's highest shortage-severity score across the three categories is 26.0, which crosses the 17-point threshold HRSA uses to flag high-priority shortage areas eligible for National Health Service Corps placement and enhanced Medicare reimbursement. Primary-care scoring reached 20.0 (0–25 scale). Mental-health scoring reached 21.0 (0–25 scale). Dental scoring reached 26.0 (0–26 scale). HPSA scores weight the provider-to-population ratio, poverty rate, travel time to the nearest source of care, and — for dental — water fluoridation status. They are recalculated as HRSA updates its quarterly designation cycle.
HRSA lists 48 active (designated) HPSA records tied to Multnomah County, covering the specific facilities, geographies, and population groups that received the designation; the table above shows the most severe. This designation data is the basis for more than thirty federal programs — loan repayment through the National Health Service Corps, Medicare bonus payments, Community Health Center grants, and J-1 visa waivers — which together channel billions of dollars annually to recruit providers into HPSAs. These figures describe structural access to care only; they are not a substitute for medical advice, and patients searching for a specific appointment should contact a provider directly or consult their insurance network.
Multnomah County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category.
- Dental
Dental
17 designations
- Mental health
Mental health
16 designations
- Primary care
Primary care
15 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 Multnomah County, OR · 2024 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.
Frequently Asked Questions
How many healthcare shortage areas does Multnomah County have?
Multnomah County, OR has 48 Health Professional Shortage Area designations: 15 in primary care, 16 in mental health, and 17 in dental care, according to HRSA data.
Is Multnomah County a Medically Underserved Area?
Yes, Multnomah County is designated as a Medically Underserved Area (MUA) by HRSA. The MUA Index for this county is 52.5. MUA designation qualifies the area for enhanced federal funding and provider incentive programs.
What does an HPSA score mean?
HPSA scores range from 0 to 25 for primary care and mental health (0 to 26 for dental). Higher scores indicate greater shortage severity. Areas with scores of 17 or above are considered high-priority shortage areas eligible for National Health Service Corps placement and enhanced Medicare/Medicaid reimbursement.
What healthcare providers are needed in Multnomah County?
Based on HRSA shortage designations, Multnomah 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.
How are HPSA designations used by federal programs?
HPSA designations determine eligibility for over 30 federal programs, including National Health Service Corps placements, Community Health Center grants, Medicare bonus payments (10% for physicians in HPSAs), J-1 visa waiver programs for international medical graduates, and Rural Health Clinic certification. These programs channel billions of dollars annually to underserved communities.
How does Multnomah County compare to other counties in OR?
Multnomah County has 48 total HPSA designations with a peak shortage score of 26.0. You can compare shortage levels across all counties in OR on the state overview page, or view national county rankings to see where Multnomah County stands relative to the rest of the country.
Learn More About Healthcare Shortages
Explore more OR shortage data
Source: HRSA Data Warehouse. FIPS: 41051. PlainHealthAccess is not affiliated with HRSA or any government agency.
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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.