HRSA designation data Public-data reference Medically Underserved Area

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.

15
Primary Care HPSAs
16
Mental Health HPSAs
17
Dental HPSAs

HPSA Scores

Primary Care 20.0
Mental Health 21.0
Dental 26.0

Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need.

Medically Underserved Area

MUA Designated
MUA Index: 52.5

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

0–20: 2,828 US counties (95%). Below this entry. 20–40: 124 US counties (4%). Below this entry. 40–60: 27 US counties (1%). This entry sits in this band. 60–80: 6 US counties (0%). Above this entry. 80–100: 1 US counties (0%). Above this entry. 100–120: 2 US counties (0%). Above this entry. 120–140: 1 US counties (0%). Above this entry. 140–160: 1 US counties (0%). Above this entry. 160–180: 0 US counties (0%). Above this entry. 180–200: 0 US counties (0%). Above this entry. 200–220: 0 US counties (0%). Above this entry. 220–240: 0 US counties (0%). Above this entry. 240–260: 0 US counties (0%). Above this entry. 260–280: 1 US counties (0%). Above this entry. This county 0 280 every US county with a designation, bucketed by value

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. – 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. – Tate Topo primary_care 15.0
NARA of the Northwest, Inc. - Oyate Behavioral Health mental_health 15.0
NARA of the Northwest, Inc. – 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. – 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.

designations
Source HRSA Data Warehouse — designated HPSAs As of 2025

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.

Source: HRSA Data Warehouse. FIPS: 41051. 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.

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