WA · Healthcare shortage profile
Skamania County, WA
Peak severity leads this reading: Skamania County's highest active HPSA score is 13.0, still below HRSA's 17-point high-priority line. Population 12,036.
- Active HPSAs
- 3
- Population
- 12,036
- Peak shortage score
- 13.0
- MUA Index
- -
Light-burden verdict
According to current HRSA Data Warehouse records, Skamania County carries a comparatively light shortage burden - 3 active HPSA designations, more than 20% of the 3,289 real US counties, with primary care the deepest gap.
- 3
- Active HPSA designations
- 1
- Primary-care shortages
- 13
- Peak severity score (of 26)
- Top 80%
- US counties by volume
Few Census ZCTAs touch Skamania County
The Census ZCTA-county crosswalk lists only 8 ZIP Code Tabulation Areas intersecting Skamania County, a sparse footprint relative to most US counties in this mirror (at or below the 9-ZIP tercile cut).
Intersecting ZCTA
3 additional ZCTAs intersect this county in the crosswalk (ordered by land share).
Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.
Key findings
What the HRSA Data Warehouse does not surface for Skamania County, WA on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.
-
Closing Skamania County's active designations would take about 4.8 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 2.5 primary care, 0.6 mental health, 1.7 dental. This is the federal gap estimate, not a headcount of practising clinicians.
-
33.3% of Skamania County's 3 active designations are primary care.
Discipline mix from designated HPSA records only: 1 primary care, 1 mental health, 1 dental (denominator 3).
-
Peak HPSA score 13.0 sits below HRSA's 17-point high-priority line.
Below-17 designations still count as shortages for program geography, but they do not clear the high-priority NHSC placement threshold on this release.
Corpus placement
Designated volume without a high-priority score
According to current HRSA Data Warehouse records, Skamania County carries 3 active designations, above 20% of real US counties. None of those scores clear HRSA's high-priority line of 17 on this release, so the page leads with severity reading rather than a national distribution chart.
State peer position. Skamania County falls in the lower half of WA counties by active-designation volume, at rank 32 of 39. Ties share a rank.
Computed from current designated HPSA rows for every five-digit county FIPS. See the placement methodology.
Healthcare shortage designations from HRSA. FIPS: 53059. Population: 12,036.
Active HPSA scores
Current designated records only. No Medically Underserved Area designation covers Skamania County in the current HRSA release, federal support here runs through the HPSA route alone. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 3 active (designated) HPSAs in Skamania County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Skamania County | primary_care | 13.0 |
| Skamania County | mental_health | 13.0 |
| Skamania County | dental | 13.0 |
Light-burden reading for Skamania County
Peak severity leads this reading: Skamania County's highest active HPSA score is 13.0, still below HRSA's 17-point high-priority line. Skamania County's shortage runs equally deep in primary care and mental health and dental care: both scored 13.0 by HRSA, still short of the 17-point priority line, though the designation itself is formal. No Medically Underserved Area designation covers Skamania County, so federal support here runs through the HPSA route alone.
Skamania County carries 3 active designations and sits below the national mid-pack (above 20% of counties). A light footprint still matters: a single high-score dental or mental-health record can open program geography even when the county total looks small next to heavy peers.
Skamania County falls in the lower half of WA counties by active-designation volume, at rank 32 of 39. Read the active scores and the deepest-care guide link below before collapsing this county into a "no shortage" story.
Light-volume FTE gap for Skamania County
HRSA providers_needed summed once per HPSA id for Skamania County's active designations: about 4.8 FTE, a federal gap estimate, not a headcount of practising clinicians.
Counties near Skamania County's primary score of 13.0
One peer set for this severity-led county: nearest active primary HPSA score to 13.0 (severity lead on this page is “Skamania County”).
Crow Wing County, MN
13.0 primary score · 66,123 pop.
Fayette County, TN
13.0 primary score · 41,990 pop.
Boone County, AR
13.0 primary score · 37,373 pop.
Plymouth County, MA
13.0 primary score · 530,819 pop.
Bay County, FL
13.0 primary score · 175,216 pop.
Caguas County, PR
13.0 primary score · 127,244 pop.
Frequently Asked Questions
- Which record sets Skamania County's peak score of 13.0?
- "Skamania County" leads the active set (score 13.0; primary care; 3,500 people in the service area; ~2.5 FTE still needed on the record; designated 08/06/2021). Below 17 the shortage is formal but outside HRSA's high-priority NHSC tier. Discipline mix across 3 active rows: 1 primary care, 1 mental health, 1 dental.
- Why is Skamania County not listed as a Medically Underserved Area?
- Skamania County has no MUA designation on this release. Federal shortage support here runs through the active HPSA record set alone.
- Which other active designations sit under Skamania County's severity reading?
- After "Skamania County", the next active names on this release are "Skamania County", "Skamania County" and "Skamania County". Provider need (id-de-duped) totals ~4.8 FTE across disciplines that still carry a gap.
Source: HRSA Data Warehouse. FIPS: 53059. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.
HRSA Data Warehouse HPSA + MUA/P records for FIPS 53059 (Skamania County, WA), vintage 2026-08-15. Active designation count 3; peak score 13.0; signature peak score 13.0. This profile is reference material, not professional advice; see methodology.