OR · Healthcare shortage profile
Tillamook County, OR
Designation volume is the standout signal for Tillamook County: 21 active HPSA records, above 95% of real US counties. Population 27,390.
- Active HPSAs
- 21
- Population
- 27,390
- Peak shortage score
- 22.0
- MUA Index
- 61.3
Heavy-burden verdict
According to current HRSA Data Warehouse records, Tillamook County ranks among the most underserved counties in the country - 21 active HPSA designations, more than 95% of the 3,289 real US counties, with primary care the deepest gap.
- 21
- Active HPSA designations
- 7
- Mental-health shortages
- 22
- Peak severity score (of 26)
- Top 5%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Tillamook County, OR 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.
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Peak HPSA score 22.0 clears HRSA's 17-point high-priority line.
Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.
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Closing Tillamook County's active designations would take about 2 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.3 primary care, 1.2 mental health, 0.5 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Tillamook County's 21 active designations are primary care.
Discipline mix from designated HPSA records only: 7 primary care, 7 mental health, 7 dental (denominator 21).
Dense ZCTA lattice over Tillamook County
Tillamook County intersects 16 Census ZCTAs, above the 15-ZIP dense-tercile cut. Shortage designations still attach at the county (or smaller HPSA) grain; the ZIP list is geography, not a second severity score.
Largest land-share ZCTAs in this county
4 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.
Tillamook County vs. every real US county
Total active HPSA designations, including counties with none
21 Top 5% higher than 95% 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. Tillamook County falls in the upper quarter of OR counties by active-designation volume, at rank 4 of 36. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 41057. Population: 27,390.
Medically Underserved Area
Peak severity scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 21 active (designated) HPSAs in Tillamook County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| County OF Tillamook | mental_health | 22.0 |
| County OF Tillamook | primary_care | 20.0 |
| Nehalem Bay Health Center And Pharmacy | mental_health | 20.0 |
| Nehalem Bay Health Center And Pharmacy | primary_care | 18.0 |
| Adventist Health Tillamook Medical Group Manzanita | mental_health | 18.0 |
| Adventist Health Tillamook Medical Group Bay Ocean | mental_health | 18.0 |
| Adventist Health Tillamook Medical Group | mental_health | 18.0 |
| Adventist Health Bayshore Medical Pacific City | mental_health | 18.0 |
| Tillamook County | mental_health | 18.0 |
| County OF Tillamook | dental | 16.0 |
| Adventist Health Tillamook Medical Group Manzanita | primary_care | 15.0 |
| Adventist Health Tillamook Medical Group Bay Ocean | primary_care | 15.0 |
| Adventist Health Tillamook Medical Group | primary_care | 15.0 |
| Adventist Health Bayshore Medical Pacific City | primary_care | 15.0 |
| Adventist Health Tillamook Medical Group Bay Ocean | dental | 12.0 |
| Adventist Health Tillamook Medical Group | dental | 12.0 |
| Adventist Health Bayshore Medical Pacific City | dental | 12.0 |
| Nehalem Bay Health Center And Pharmacy | dental | 12.0 |
| Adventist Health Tillamook Medical Group Manzanita | dental | 11.0 |
| Tillamook County | dental | 10.0 |
| Tillamook County | primary_care | 8.0 |
Heavy-burden reading for Tillamook County
Designation volume is the standout signal for Tillamook County: 21 active HPSA records, above 95% of real US counties. Tillamook County's severest measured gap is in mental health, scored 22.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 20.0 of 25; Dental care reads 16.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 61.3, and the lower the index, the greater the measured need.
Volume places Tillamook County above 95% of real US counties (21 active designations: 7 primary care, 7 mental health, 7 dental). Peak severity on the current designated set is 22.0. 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.
Tillamook County falls in the upper quarter of OR counties by active-designation volume, at rank 4 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.
Tillamook County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Primary care
Primary care
7 designations
- Mental health
Mental health
7 designations
Heavy-volume FTE gap in Tillamook County
HRSA providers_needed summed once per HPSA id for Tillamook County's active designations: about 2 FTE, a federal gap estimate, not a headcount of practising clinicians.
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Tillamook 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
Tillamook County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Tillamook County's 21 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 score lookup
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 Mental Health Shortage Score
Other U.S. counties whose active HRSA mental-health HPSA score is closest to Tillamook County's 22.0. This compares the designation score only, not local appointment availability or care quality. Start with Jackson County, MO and Montgomery County, OH.
Showing 6 of 3081 counties nationally with an active designation this severe.
High-volume peers of Tillamook County (21 active)
One peer set for this volume-led county: nearest active designation count to 21 across the national corpus.
Frequently Asked Questions
- Does Tillamook County's MUA standing sit beside its HPSA records?
- Yes - Tillamook County carries an MUA designation (index 61.3; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- What makes up Tillamook County's 21 active HPSA designations?
- 21 Designated rows (7 primary care, 7 mental health, 7 dental). Highest-scored name on this release: "COUNTY OF TILLAMOOK" (score 22.0; mental health; 4,713 people in the service area; designated 10/26/2002). Also active: "COUNTY OF TILLAMOOK", "NEHALEM BAY HEALTH CENTER AND PHARMACY", "NEHALEM BAY HEALTH CENTER AND PHARMACY". Above 95% of real US counties by volume.
- What does volume-plus-score look like for Tillamook County?
- Peak active score 22.0 in mental health clears the 17-point line while volume sits at 21 rows.
- What clinician need sits behind Tillamook County's designation volume?
- Closing published gaps would take about 2 additional clinician FTEs (id-de-duped providers_needed). "COUNTY OF TILLAMOOK" is the severity lead inside that inventory.
- Which federal programs follow Tillamook County's designation volume?
- 21 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, by designated area and provider type, not by county line alone.
- How does Tillamook County's volume compare inside OR?
- 21 active HPSA rows · peak 22.0. Tillamook County falls in the upper quarter of OR counties by active-designation volume, at rank 4 of 36. Score-nearest counties on this release include Jackson County, MO and Montgomery County, OH.
Source: HRSA Data Warehouse. FIPS: 41057. 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 41057 (Tillamook County, OR), vintage 2026-08-15. Active designation count 21; peak score 22.0; signature 21 active designations. This profile is reference material, not professional advice; see methodology.