2BWell
Affirming
Naturopathic and acupuncture primary-care group that lists transgender care among the conditions it treats.
Trans healthcare resources in Multnomah County, OR
This page lists trans healthcare resources for people in Multnomah County, Oregon, covering needs like affirming providers, Oregon Health Plan enrollment, and clinics. Multnomah County includes Portland (the county seat), Gresham, and Troutdale. Listings below serve Multnomah County or are not limited to one part of the state.
Good to know
- OHP (Oregon Medicaid) covers gender-affirming care as a legal right, including HRT and surgery.
- OHP has no asset limit, covers you regardless of immigration status, and takes applications year-round.
- If insurance denies trans care, you can appeal, and the OHA Ombuds can help: 877-642-0450.
Get established with gender-affirming care in Portland
Ready to start gender-affirming care in Portland? This covers your insurance options (OHP vs. private vs. uninsured), how to choose between Prism Health, OHSU, Outside In, Multnoma...
Get OHP and SNAP when you move to Oregon
You just moved (or are about to move) to Oregon and need health coverage and food benefits. Oregon is one of the most trans-affirming states in the country, OHP covers gender-affir...
Getting support after a psychiatric hospital stay
Getting discharged from a psych hold or inpatient stay can feel disorienting. This path covers what to focus on in the first few days: getting your paperwork and medications, conne...
Navigating a new cancer diagnosis
A cancer diagnosis is a lot. You don't have to figure it out alone, and you don't have to accept treatment at the facility that diagnosed you. This path covers your first practical...
Figuring out next steps after a positive pregnancy test
This guide covers all options, continuing the pregnancy, abortion, and adoption, with no pressure toward any of them. Whatever you decide, you deserve accurate information and good...
Navigating a terminal diagnosis
You don't have to figure out what this means all at once. This path covers the most important practical steps, including options most people don't know they have until they need th...
Finding support for substance use
Recovery looks different for every person. Abstinence, medication-assisted recovery, harm reduction, all of these are valid. This path doesn't tell you what recovery should look li...
Preparing for and recovering from gender-affirming surgery
Surgery is not a single day, it's a months-long process before and after. This path covers what to set up before you go under (logistics, caregiver, food, income protection), what...
Navigating an HIV or AIDS diagnosis
Learning you have HIV can feel like the ground just shifted, but HIV is now a highly manageable chronic condition. With antiretroviral therapy (ART), people with HIV live full, lon...
When you're in a mental health crisis or thinking about suicide
If you are in a lot of pain right now, or thinking about ending your life, you are not alone and you are not a burden. This path lays out who to reach, from trans-run crisis lines...
Clackamas CountyMultnomah CountyWashington County
Resources for trans people who are Deaf or Hard of Hearing
Being trans and Deaf or Hard of Hearing means navigating healthcare, community, and documentation systems that often weren't built with you in mind. This path covers your rights to...
Support after sexual violence
If someone sexually assaulted, abused, or coerced you, what happened was not your fault, and you get to decide what happens next, at your own pace. You do not have to report to any...
Clackamas CountyMultnomah CountyWashington County
Getting a mobility device in Oregon
Power wheelchairs and mobility scooters can be fully covered at no cost through OHP, but the path to getting one is not obvious. This guide walks you through every realistic option...
Apply for disability (SSI/SSDI) and General Assistance in Oregon
If you are a disabled trans person, federal disability benefits (SSI or SSDI) can be a foundation for stability. We will be straight with you: this is one of the hardest, slowest s...
Moving to Oregon when you are already on disability
You are already on SSI or SSDI and you are moving to Oregon, one of the most trans-affirming states in the country. Your benefits can come with you, but a move touches almost every...
Finding housing with a serious mental health condition or substance use disorder
Housing that comes with mental health or substance use support runs on a system that is not obvious from the outside. You usually cannot call a treatment home and move in. Access s...
Serving Multnomah County
Align Counsel
Affirming
LGBTQIA+, polyamory, and kink-affirming therapy for women and femmes; in-person Portland plus Oregon telehealth.
All Ways of Being, LLC (Dmitri Dosamantes, LMFT)
Affirming
WPATH-trained gender therapist for trans and gender-diverse clients; HRT and surgery letters, LGBTQIA-affirmative care.
Alyssa Moore Counseling
Affirming
LGBTQ+ affirming LPC specializing in gender affirmation and transition; individuals, couples, and youth 14+.
Andrea Mize, LCSW
Affirming
LCSW and certified sex therapist; multicultural, trauma-informed care for LGBTQ+, kink, and nonmonogamous clients.
Asha Ray, LLC
Affirming
LPC offering gender-affirming surgery assessments and letters, plus trauma and racial/gender identity work in Portland.
Bird in Hand Electrology
AffirmingTakes insurance
Trans-owned electrology including GCS surgery prep; accepts OHP and PacificSource.
Blodgett Dental Care
Affirming
LGBTQ+ friendly SE Belmont practice offering whole-body, health-focused dentistry and implants.
Bombshell Transformations
Affirming
Queer- and trans-owned Portland beauty/wellness collective offering hair, electrolysis, aesthetics, bodywork, and styling.
Bridge City Family Medical Clinic
Affirming
Family medicine practice providing gender-affirming primary care and hormone replacement therapy in Portland.
Bridgetown Sex Therapy
Affirming
Sex and relationship therapy addressing gender identity, sexuality, and trauma; in person and secure video in Portland.
Broadway Apothecary
Affirming
Portland specialty community pharmacy accredited for hormone therapies and experienced with trans patients; 24/7 on-call pharmacists.
Bywater Health
Affirming
Queer-led primary care offering gender-affirming hormone therapy, PrEP/HIV care, mental health, and preventive care.
C.H.E.R.I.I.S.H. Counseling LLC
Affirming
Gresham/Troutdale practice offering affirming and equine-assisted therapy; provides gender-affirming HRT and surgery letters.
Carreón Health
Affirming
Independently owned Portland primary care practice (Miguel Carreón, FNP) with LGBTQ+, HIV, and PrEP focus; prescribes hormones and writes letters.
Cascade AIDS Project (CAP) PrEP & Insurance Navigation
Affirming
PrEP navigation, health insurance enrollment, and sexual health services from Cascade AIDS Project's Portland office.
Cascadia Health
Affirming
Large community behavioral health nonprofit with LGBTQ-inclusive mental health care and an LGBTQ specialist at SMYRC.
Cassity Counseling
Affirming
Osage Two-Spirit LMFT offering gender-affirming, culturally competent, trauma-informed therapy with LGBTQ and Native focus.
Cats Paw Electrology
Affirming
Gresham electrolysis studio with a private, LGBTQIA+-welcoming environment; permanent hair removal plus microneedling and peels.
Cayla Panitz, LPC
Affirming
Queer-affirming LPC specializing in eating disorders and body image using a Health At Every Size approach.
Celedon Electrolysis
Affirming
Trans-owned, low-budget electrolysis on SE Hawthorne; transfeminine electrologist focused on affirming gender through control over appearance.
Celine Dental Specialty
Affirming
LGBTQ+ friendly, trans safe specialty dental practice in NW Portland for implants, oral surgery, and emergencies.
Center for Natural Medicine, Inc.
Affirming
Long-established Portland naturopathic clinic with a dedicated gender-affirming program: hormone management and surgical referrals.
Central City Concern, Old Town Clinic
Affirming
Nonprofit clinic offering integrated primary care, behavioral health, and gender-affirming care in Old Town.
Connective Therapy Collective
Affirming
Queer, sex-positive group practice specializing in LGBTQ+ care, complex trauma, kink, non-monogamy, and sex-worker-affirming therapy.
Crestview Recovery
Affirming
Portland drug and alcohol rehabilitation center with a holistic approach, welcoming all gender identities.
Cynthia Polance Psychology
Affirming
Licensed psychologist providing evaluations for transgender candidates for medical intervention plus other diagnostic assessments.
David Martin Therapy
Affirming
LGBTQ+ competent LPC with 30+ years' experience; EMDR, trauma/PTSD, anxiety, and men's-studies specialization.
Dian's Well Counseling
Affirming
Trans-affirming practice for TGNB adults; EMDR, peer support, and letters for hormones, surgery, and electrolysis.
Do It Together Counseling
Affirming
Politically-informed relational talk therapy for queer and trans adults in NE Portland.
Dr. Jessica E. Wilson
Affirming
WPATH-certified gender specialist offering therapy and assessments for gender-affirming procedures in SE Portland.
Eastside Electrology
Affirming
SE Portland electrolysis specializing in gender-affirming care and surgical prep since 2009, with a dedicated transgender hair-removal page.
Electrolysis Clinic of Portland
Affirming
Downtown Portland electrolysis clinic that treats transgender clients, offering permanent facial and body hair removal for gender transition.
Emily Berry Counseling
Affirming
Radical, relational queer therapy for LGBTQ+ teens and adults; dedicated gender-affirming care offering.
Emily Fagan, LPC
Affirming
LGBTQ+ and gender-identity affirming LPC offering ACT-based individual therapy for teens 14+ and adults.
Every Body Midwifery & Health
Affirming
Portland midwifery practice for home and birth-center birth that explicitly centers trans, queer, and underserved families.
Evolution Dental
Affirming
LGBTQ+ friendly, trans safe general dental practice in SW Portland with easy transit access.
EyeHealth Northwest - NW Portland
Affirming
LGBTQ+ friendly and trans safe ophthalmology practice in NW Portland for medical and surgical eye care.
EyeHealth Northwest - Providence
Affirming
LGBTQ+ friendly ophthalmology office on the Providence Portland campus for medical and surgical eye care.
EyeHealth Northwest - SE Portland
Affirming
LGBTQ+ friendly and trans safe ophthalmology office in SE Portland with Saturday morning hours.
Family Heart Counseling (Leslie Yeargers)
Affirming
Family and couples therapist supporting families when a member is transgender or nonbinary.
Fierce Compassion Psychotherapy (Katie Eichner)
Affirming
Licensed psychologist specializing in trans and gender-diverse clients; WPATH letters and trauma care.
Five Pines Dental
Affirming
LGBTQ+ friendly downtown dental practice with an in-house membership plan for folks without insurance.
Forest Park Dental Studio
Affirming
Women-owned, LGBTQ+ friendly and trans safe SW Portland practice for general, cosmetic, and emergency dentistry.
Forward Momentum Therapy
Affirming
LMFT providing couples, family, and individual therapy affirming LGBTQ+, poly, and kink clients, including gender transitions.
Full Spectrum Therapy
Affirming
Group practice dedicated to LGBTQ+ and gender-affirming care for youth, adults, couples, and families; HRT/surgery letters.
Gender Communication Lab (PSU Speech & Hearing)
Affirming
FREE gender-affirming voice and communication practice at Portland State, led by a licensed SLP.
Gradient Counseling (Tiran Sahar)
Affirming
Somatic, relational therapy for queer, mixed-race, and gender-diverse adults; Portland office plus OR/WA telehealth.
Head & Neck Surgical Associates (Facial Feminization)
Affirming
Portland oral and maxillofacial surgery practice specializing in facial feminization surgery (jaw, chin, brow, nose, craniofacial).
Healing Tides Counseling, LLC
Affirming
SE Portland collective of radical, trauma-informed therapists, many trans/nonbinary; LGBTQ+ and gender-affirming care.
Health Allies Counseling
Affirming
LGBTQ- and trans-affirming group practice in SE Portland with 30+ therapists; OHP accepted, telehealth statewide.
Health Share of Oregon
AffirmingFree
Largest CCO in Portland Metro for OHP members, with broadest gender-affirming care network.
In Context Counseling
Affirming
Portland practice devoted entirely to gender-affirming therapy for trans, nonbinary, and gender-expansive people; WPATH letters.
Indigo House PDX
Affirming
Queer-centered massage, acupuncture, and somatic bodywork space in SE Portland.
Inner Sanctuary Wellness
Affirming
NW Portland acupuncture and Chinese herbal medicine practice that is explicitly queer- and trans-affirming.
Inner Wellness (Dr. Meghan Kelley)
Affirming
Portland psychologist specializing in LGBTQIA+/trans clients; provides gender-affirmation letters for HRT and surgery.
Integrative Trauma Treatment Center
Affirming
Trauma-focused therapy practice with a dedicated trans and gender-affirming care track and queer-affirming clinicians.
Intersections Counseling
Affirming
Culturally specific therapy for QTBIPOC, kink, and non-monogamous individuals, couples, polyam pods, and families.
Isaiah Bartlett, LCSW
Affirming
Queer and trans LCSW offering gender- and queer-affirming, trauma-informed therapy for teens and adults.
Jason Johnson, PsyD
Affirming
Licensed psychologist specializing in gender identity, LGBTQ+ issues, and life transitions.
Jenny Boyce Counseling, LLC
Affirming
Art and talk therapy with a specialization in transgender care, trauma, anxiety, grief, and depression.
Johanna Rayman, LCSW, GCFP
Affirming
Bilingual, body-centered therapist providing trans and nonbinary affirming care and WPATH evaluations since 2011.
Joleen Ross, LCSW, CADC I
Affirming
Trauma-focused, LGBTQ+-affirming LCSW and EMDR therapist for youth and adults, online and in person.
Kaeb Jennae, LMT, SomaSoul Healing
Affirming
Trans nonbinary LMT offering gender-affirming bodywork, pre/post gender-affirming surgery care, and somatic support.
Kaia Healing Arts, LLC (Relendra Kaia, LPC)
Affirming
Trans clinician offering gender-affirming, ACT-based in-person counseling for trans and gender-expansive adults.
Kaiser Permanente Northwest Gender Pathways Clinic
Affirming
Kaiser Permanente NW multidisciplinary gender clinic with integrated medical and mental health gender-affirming care.
Kari Gjerde, LPC
Affirming
Portland LPC offering trauma-informed individual therapy for queer, trans, and nonbinary clients.
Kat Canada, LCSW
Affirming
Portland LCSW offering trans-affirming, strength-based therapy (currently telehealth) using ACT and narrative therapy.
Kelly Arthur Services
Affirming
LMFT/LPC/CADC serving LGBTQ+ individuals and couples; relationship and addiction/recovery work.
Ken Steinbacher Counseling, LLC
Affirming
LPC specializing in gender and gender transition, sexuality, and trauma; queer/feminist, social-justice-rooted.
Kim E. Lucey, LCSW
Affirming
LCSW for children, teens, adults, and families with an LGBTQ+ and substance-use focus; accepts OHP.
Kindred Heart Counseling, LLC (Madison Unsworth)
Affirming
LGBTQ+ and gender-affirming individual therapy in Sellwood; trauma, anxiety, identity, polyamory/kink-affirming.
Kyle Baltrusch, MD (Portland Plastic Surgery Group)
Affirming
Portland board-certified plastic surgeon offering gender-affirming top surgery; accepting new patients.
Laurelhurst Dentistry
Affirming
LGBTQ+ friendly, trans safe full-service dental practice on East Burnside for your whole smile.
Laurelhurst Electrology
Affirming
Permanent electrolysis hair removal in a private NE Portland office, by appointment. Trans-serving; note: no genital electrolysis.
Left Out Care
Affirming
Queer- and trans-affirming mobile Bowenwork bodywork practice with discounts for trans, BIPOC, and disabled clients.
Legacy Gender Care Services
Affirming
Legacy Health's gender-affirming program: hormone therapy, primary and gynecologic care, and surgical coordination for adults.
Legacy Good Samaritan, Dr. Nick Esmonde (gender-affirming surgery)
Affirming
Fellowship-trained gender surgeon offering the full range of gender-affirming surgery: FFS, top surgery, and bottom surgery.
Legacy Medical Group-Broadway, Dr. Jane Ware (gender-affirming primary care)
Affirming
Legacy internal medicine PCP in NE Portland with experience in gender-affirming care.
Legacy Reconstructive Surgery, Dr. Hema Thakar (gender-affirming surgery)
Affirming
Gender-affirming chest/top surgery within Legacy's Transgender Health Program; also breast and pelvic reconstruction.
Legacy Transgender Health Program
Affirming
Hospital-based gender-affirming care program offering transition-related, primary, and specialty care for trans and gender-diverse patients.
Legacy, Dr. Megan Bird (gender-affirming gynecology & surgery)
Affirming
Board-certified gynecologist and co-medical director of Legacy's Gender and Sexual Health Program; gender-affirming gyn and surgical care.
Link Therapy LLC
Affirming
Affirming, trauma-informed counseling for queer, neurodivergent, and chronically ill adults; explicit gender-transition support.
Matthew Lewis Plastic Surgery
Affirming
Portland board-certified plastic surgeon performing both FTM and MTF surgeries, including facial feminization and chest surgery.
Megan Wyckoff, LCSW
Affirming
Queer LCSW offering trans-affirming, sex-positive, kink- and poly-friendly therapy for individuals, couples, and families.
Melissa Chernaik Counseling
Affirming
LPC offering individual psychotherapy; LGBTQIA+, poly, and kink affirming; works with gender identity, anxiety, and trauma.
MindSights
Affirming
Youth psychological assessment clinic offering identity-affirming evaluations for LGBTQI2S+ young people up to age 17.
Molly McDavitt Counseling, LLC
Affirming
Art therapist & LPC running a support group for nonbinary, genderqueer, and trans adult survivors of childhood sexual abuse.
Multnomah County Health Centers
AffirmingSliding scale
County FQHC network with sliding-scale gender-affirming primary care across multiple sites.
New Pattern Counseling
Affirming
Gresham group practice serving LGBTQIA+ clients, including co-occurring addiction and faith/identity concerns.
Northern Pathways Counseling (Stacy Sheffler, LPC)
Affirming
Genderqueer LPC offering trans and nonbinary affirming therapy for teens and adults in St. Johns.
Northwest Primary Care, Dr. Matthew Moravec (gender-affirming primary care)
Affirming
Affirming family medicine PCP at Northwest Primary Care, which runs a dedicated LGBTQIA+ gender-affirming care program.
NUNM Health Centers, Lair Hill
Affirming
Teaching clinic providing integrative naturopathic and Chinese medicine care with a commitment to gender-affirming patients.
NW Creative Counseling, LLC
Affirming
Queer-identified LPC offering LGBTQIA2S+ affirming art/creative therapy, trauma, OCD, and psychedelic integration.
OHSU Casey Eye Institute - South Waterfront
Affirming
LGBTQ+ friendly and trans safe academic eye institute at OHSU for complex and specialty eye conditions.
OHSU Doernbecher Gender Services (Pediatric)
Affirming
OHSU Doernbecher's interdisciplinary gender clinic for transgender and gender-nonconforming children and teens through age 18.
OHSU Transgender Health Program
Affirming
OHSU's Transgender Health Program offers adult gender-affirming psychiatry, psychology, assessments, and letters of support.
Outside In
AffirmingSliding scale
FQHC for youth 16 to 24 with HRT, primary care, ID Project, employment, and housing services.
Owls' Nest North Therapy Joint
Affirming
Queer-owned group practice centered on 2SLGBTQQIA+ and gender-affirming care through an anti-oppression lens.
PDX Center for Dentistry
Affirming
LGBTQ+ friendly downtown dental practice steps from the Schnitz for general, cosmetic, and emergency care.
Planned Parenthood Columbia Willamette
AffirmingSliding scale
Sexual and reproductive health care, including gender-affirming hormone services, across the Portland metro area.
Plucky Girl, LLC
Affirming
Electrolysis permanent hair removal in NE Portland with active trans-community outreach; no upcharge for Brazilian work.
Pohala Clinic
Affirming
Integrative family medicine clinic offering gender-affirming hormone therapy alongside naturopathic and primary care.
Portland Electrolysis and Skin Care
Affirming
Permanent electrolysis for all skin and hair colors, explicitly serving transgender clients; 25+ years experience.
Portland Eye Care
Affirming
LGBTQ+ friendly and trans safe optometrist in SE Portland for eye exams, glasses, and contacts.
Portland Mental Health & Wellness
Affirming
Queer- and BIPOC-owned group practice with a dedicated Affirm 2STNB program; therapy plus psychiatric medication management.
Portland Therapy Project
Affirming
Somatic training clinic where supervised graduate therapists provide affordable, queer- and trans-affirming care; accepts OHP.
Portland Wellbeing
Affirming
LGBTQIA+ and gender-affirming LCSW; gender-affirming surgery and DMV letters, EMDR, and Health at Every Size therapy.
Present Beings Couple & Family Therapy
Affirming
Practice run by a transgender therapist working exclusively with LGBTQIA2S+ individuals, couples, and adult families.
PridePoint Health
Affirming
Gender-affirming hormone care and LGBTQ+ primary care in Portland, plus telehealth across Oregon, on an affordable monthly membership.
Prism Health
AffirmingSliding scale
Oregon's only LGBTQ+ primary care clinic, with informed-consent HRT and surgery referrals.
Pulse Wellness Cooperative
Affirming
Worker-owned queer, trans-affirming, neurodivergent-informed therapy cooperative in Portland.
Quest Center for Integrative Health
AffirmingSliding scale
Integrative mental health and HIV services with explicit LGBTQIA2S+ culturally responsive care.
Randall Children's Gender Care Center
Affirming
Pediatric/youth gender-affirming clinic at Randall Children's (Legacy): pubertal suppression, hormone therapy, and behavioral health.
Rebecca Casanova, MPH, LCSW
Affirming
Trauma-informed LCSW serving LGBTQ+, BIPOC, veterans, and survivors; certified in multiple trauma modalities.
Rebel Heart Therapy
Affirming
LGBTQIA+, poly, and kink-affirming group practice led by queer and genderqueer clinicians.
Robin Friedman, LCSW
Affirming
Trauma-informed LCSW (EMDR, expressive arts, somatic) with many years of LGBTQ+ and gender-affirming work.
Rose City Psychotherapy & Sex Therapy
Affirming
Therapy at the intersections of gender, sexuality, and reproductive mental health, with a dedicated LGBTQIA+ track.
Sakura Counseling
Affirming
BIPOC and LGBTQ+ affirming, trauma-informed practice with queer-identified clinicians experienced serving the queer community.
Sankofa Counseling, LLC
Affirming
Culturally specific, antiracist therapy for Black, Brown, Trans/Nonbinary, and LGBQAI individuals and families.
Sarah Ellenwood Counseling (Walk the Talk Therapy)
Affirming
Queer-identified LPC/LMFT; couples and family therapy, GLBTQ/kink/poly affirming; in-person, virtual, and walking sessions.
Second Heart Counseling
Affirming
Trans, queer therapist offering gender-affirming WPATH SOC-8 surgical assessment letters and transmasculine/teen groups.
Simone D'Amore Counseling
Affirming
LGBTQIA+ affirming, EMDR-trained LPC in SW Portland with a focus on supporting transgender people and their families.
Spectrum Counseling & Mental Wellness
Affirming
LGBTQ+ nonprofit clinic offering low-cost and free affirming therapy for trans and marginalized communities (long waitlists).
Sprout Therapy PDX
Affirming
Queer-founded, OHP-accepting clinic with LGBTQ+ and gender-affirming care; two Portland offices plus telehealth.
Switch On Sex Therapy
Affirming
AASECT-certified sex therapist (LCSW); LGBTQ+/trans-allied, kink- and non-monogamy-aware sex and relationship therapy.
T4T Fantasy Sugar
Affirming
Trans woman-owned sugaring hair removal with an explicit 50% trans/sex-worker first-visit discount.
Take Space Yoga Therapy
Affirming
Queer-run yoga and somatic therapy practice serving queer, trans, and neurodivergent folks; online and in person.
The Electrolysis Collective (formerly StarVolta Electrolysis)
Affirming
Portland electrolysis practice offering gender-affirming and pre-surgical permanent hair removal, including surgical clearing.
The Oregon Clinic, Dr. Michael Schmitt (gender-affirming surgery)
Affirming
Plastic surgeon offering gender-affirming chest (top) surgery: augmentation, reduction, and mastectomy.
The Wellness Group for Voice, Speech, & Swallowing
Affirming
SLP practice offering gender-affirmative voice and communication therapy, including the 'Express Yourself' group class.
Therapy With Rani (Rani Gupta, LCSW)
Affirming
Oregon-licensed LCSW offering IFS and somatic therapy primarily for BIPOC clients, in person in Portland and via telehealth.
Timber Dental Downtown
Affirming
LGBTQ+ friendly, transgender safe space dental practice in downtown Portland for routine and same-day emergency care.
Trans Bodycare
AffirmingSliding scale
Mobile post-surgical massage and lymphatic drainage by trans-owned practice.
Tree of Life Counseling and Coaching (Jason Durtschi, LCSW)
Affirming
LCSW working extensively with LGBTQ+ clients including religious/sexuality trauma; transgender-allied.
True Colors Recovery Organization
Affirming
Oregon's first LGBTQ+ recovery community organization, offering free peer recovery mentorship, daily meetings, and a welcoming center.
Valerie Yeo, Psy.D., LLC
Affirming
Licensed psychologist (she/they) offering gender exploration support and therapeutic psychological assessment in SE Portland.
Visualeyes Vision Clinic
Affirming
LGBTQ+ friendly and trans safe optometry clinic in downtown Portland with language assistance.
Voicedoctor (Dr. James P. Thomas)
Affirming
Laryngologist offering feminization laryngoplasty (voice-feminization surgery) in Portland.
Whole Body Health Physical Therapy
Affirming
Multi-clinic Portland PT with a pelvic-health team specializing in trans-competent and pre/post-gender-affirming-surgery care.
Willamette Dental Group - Portland Jefferson
Affirming
Willamette Dental's founding Goose Hollow office, part of a company scoring 100 on the HRC equality index with trans-inclusive care.
Wishbone Chiropractic
Affirming
Inner SE Portland chiropractor offering trauma-informed care and explicitly welcoming LGBTQ+, neurodivergent, and hypermobile patients.
Be Abundant Collective
Be Abundant Collective is a queer-owned wellness center in Portland, Oregon, focused on providing inclusive, trauma-informed care through services such as counseling, mediation, massage, craniosacral therapy, hair care, and electrolysis. The organization emphasizes intersectionality and serves diverse communities, including Indigenous, Black, Brown, Melanated, Asian, Fat, LGBTQIA2S+, Trans, and Nonbinary individuals.
Cascade Aids Project
Cascade AIDS Project is a nonprofit organization dedicated to preventing HIV infections, supporting and empowering people affected by HIV/AIDS, and eliminating stigma associated with the disease. The organization provides a range of services including education, testing, housing assistance, and advocacy to individuals and communities in Oregon and Southwest Washington.
Cascades Abortion Support Collective
Volunteer collective offering free, confidential abortion support and reproductive supplies across Oregon.
ColumbiaCare Services
Statewide nonprofit behavioral health agency running licensed residential treatment, crisis programs, supportive housing, and veterans services for adults with serious mental illness.
Doulas Latinas International
Community-based, multilingual doula support and training advancing birth equity for Latine, Indigenous, Black, and LGBTQI+ families.
FolkTime
Free
Peer-run mental health drop-in centers and a peer respite house in Portland, free, walk-in community spaces run by and for people with lived mental health experience.
Hooper Detoxification Stabilization Center (Central City Concern)
Long-standing Portland detox and stabilization center offering medically supervised withdrawal, peer support, and opioid-use treatment.
Kinship House
Outpatient mental health therapy for children and families navigating foster care, adoption, and guardianship.
LifeWorks NW, Mountaindale Recovery Center
Residential addiction recovery program for women, part of LifeWorks NW's mental health and substance-use services.
Lucid Mental Health Treatment Program
Small, physician-run residential program in Portland for complex psychiatric conditions, with intensive one-on-one care for about six clients at a time.
Marshallese Women's Education and Health Network
A network of Marshallese women in Oregon and Washington advancing health and education in their community.
Native American Rehabilitation Association of the Northwest (NARA NW)
Native-focused integrated primary care, behavioral health, and substance-use recovery serving the Portland metro since 1970.
New Narrative
Portland mental health nonprofit offering a full continuum of care, including outpatient and residential treatment, transitional and permanent supportive housing, and peer programs for adults.
Outside In, Gender Diverse Health Services
Portland clinic providing gender-affirming primary care, hormone therapy, and trans health services for the community.
Portland People's Outreach Project (PPOP)
Volunteer, peer-run harm reduction street outreach for people who use drugs.
Portland Street Medicine
Street-based medical care brought directly to Portland's unhoused neighbors wherever they shelter.
Project Access NOW
Free
Hospital-to-community navigation for uninsured/underinsured with multilingual application help.
Telecare Stults House
Residential treatment home in East Portland helping adults step down from institutional mental health settings and rebuild independent living skills.
Windhorse Integrative Mental Health
Semi-residential Portland program where adults with complex mental health conditions live in their own apartment with a therapeutic housemate and intensive one-on-one support.
Not limited to one county
These listings do not name a county in their service area. Check each one for location and eligibility.
Affirming Voice & Communication, PLLC
Affirming
Telehealth gender-affirming voice therapy with a provider experienced serving transmasc and nonbinary clients since 2015.
Amalia Greene, LCSW
Affirming
LGBTQIA2S+-affirming LCSW (she/they), WPATH member, offering online therapy to adults across Oregon.
Amie Christie, LPC
Affirming
Telehealth LPC for anxiety, depression, and life transitions; transgender- and LGBTQ+-allied, free 15-min consult.
Amy Marsh, Clinical Sexologist
Affirming
Online clinical sexologist and AASECT-certified sexuality counselor; LGBTQIA+, poly, and kink-affirming, a no-shame zone.
Andrew Hann Voice & Piano Studio
Affirming
Gender-affirming voice training plus singing and piano lessons; lessons offered online.
Angela Izmirian, PhD (Izmirian Counseling)
Affirming
Vancouver WA psychologist specializing in trans and gender non-conforming clients, anxiety, trauma, and couples.
Bethprana Novi Counseling
Affirming
LCSW offering telehealth therapy for trans, nonbinary, and neurodivergent Oregonians; writes gender-affirming surgery letters.
Boulder Care
Affirming
Virtual, low-barrier same-day addiction treatment and peer support for opioid and alcohol use disorders across Oregon.
Cardigan Counseling LLC
Affirming
Queer, mixed-race Asian American LPC offering virtual therapy for Oregon adults, including transgender and gender-identity support.
Cathy Moonshine, PhD
Affirming
Licensed psychologist offering teletherapy to Oregon clients; 30+ years in mental health and addiction care.
Center for Body Trust
Affirming
Weight-inclusive, body-trust provider training and a directory of certified specialists, many offering remote care.
Chell Oak Therapy
Affirming
Therapist (they/them) offering adult counseling plus gender-affirming assessments and letters via informed consent.
Claudelle R. Glasgow, PsyD
Affirming
Nonbinary, queer psychologist offering trans-affirming telehealth therapy and gender-affirmation surgery readiness letters across WA and OR.
Compassion Family Health
Affirming
Ashland-based telehealth family practice (Tom Roseland, FNP) serving all ages across Oregon; prescribes hormones and writes letters.
Crews LASIK & Cataract Center
Affirming
LGBTQ+ friendly LASIK and cataract surgery center in Vancouver led by a board-certified ophthalmologist.
D Seright, LMFT
Affirming
Queer, genderqueer LMFT offering trans-affirming therapy and neurodivergent assessment via telehealth across Oregon.
Dr. Ari Kramer (Empowering Therapy and Consulting)
Affirming
Queer, trans-specialist teletherapist serving Oregon with a multicultural feminist, neurodivergent-friendly approach.
Flourish In Flux Therapy
Affirming
Transmasculine LPC offering gender, relationship, and OCD therapy via telehealth; writes gender-affirming referral letters.
FOLX Health
Affirming
National virtual health platform for LGBTQIA+ adults, with gender-affirming hormone therapy, letters, and primary, mental, and sexual health.
Free Youth Binder Program (Trans Essentials)
Affirming
Free chest binders and gender-affirming gear for trans youth 24 and under.
Hagen Counseling (Jennie B. Hagen, LMHC/LPC)
Affirming
Downtown Vancouver WA feminist therapist (licensed in WA and OR); LGBTQ+ welcoming, best fit for transfeminine clients.
Heather Cassandra Blessing, LMFT
Affirming
Trans-specialist LMFT offering gender-affirming telehealth therapy to Oregon clients; writes support letters.
Heather Washburn, LPC
Affirming
Portland LPC offering telehealth trauma/EMDR therapy; transgender-allied, free 15-minute consult.
Holly Zell (Garnet Counseling)
Affirming
Queer and trans-focused online Oregon therapist specializing in trauma and suicide prevention; writes support letters.
Ian Schroeder, LPC (Partners in Healing Counseling Services)
Affirming
Trans-identified, LGBTQ+ and addiction-focused therapist licensed in Oregon and Washington.
Inclusive Therapists
Affirming
National directory of identity-affirming, social-justice-oriented therapists, searchable by identity, specialty, insurance, and location, including telehealth.
Inner Gold Counseling, LLC
Affirming
Queer-identified LPC offering telehealth therapy for Oregon adults, naming transphobia as a barrier to wellbeing and accepting OHP.
Insight Eye Clinic
Affirming
LGBTQ+ friendly and trans safe optometry clinic in Vancouver with a gender-neutral restroom.
Joyful Awakening
Affirming
IFS-informed, EMDR-certified trauma therapist; explicitly queer- and trans-affirming, fat-positive, anti-racist.
Kate Meza (Bridges to Well-Being)
Affirming
Virtual Oregon group behavioral health practice for individuals, couples, and families; writes support letters.
Kate O'Brien Inclusive Counseling
Affirming
Queer, nonbinary therapist offering teletherapy to LGBTQIA2S+ adults and teens across Oregon.
Lavender Spectrum Health
Affirming
Vancouver WA LGBTQ+ and neurodiversity-affirming medical clinic offering gender-affirming hormone therapy.
Lodestar Mental Health Services, LLC
Affirming
LGBTQIA+-focused LPC providing telehealth therapy to Oregon clients 16 and older.
Luke R. Allen, PhD
Affirming
Licensed psychologist specializing in transgender health and LGBTQ+ affirming online therapy for adults, youth, and families.
Mental Health & Addiction Association of Oregon (The Peer Company)
Affirming
Statewide peer-support nonprofit for mental health and addiction recovery.
Mindfulness Therapy Service, LLC
Affirming
Telehealth practice (Desiree Guzman, LCSW) for anxiety, depression, and trauma; transgender and LGBTQ+ expertise.
Ocean Bloch Somatics
Affirming
Queer and trans LMFT and Somatic Experiencing practitioner; somatic, mindfulness-based trauma therapy.
Oshin Medicine
Affirming
Telehealth naturopathic practice by a queer, trans, nonbinary provider offering low-barrier gender-affirming care.
OutCare Health (OutList)
Affirming
National searchable directory of LGBTQ+-affirming healthcare providers, plus resources, mentorship, and trainings.
Pacific Northwest Electrology & Skincare
Affirming
Electrolysis center (Vancouver WA, also Tualatin OR) specializing in trans gender-affirming hair removal, including pre-surgical removal.
Pineapple Support
Affirming
Free and subsidized mental health support for online adult-industry workers.
Plume
Affirming
Virtual gender-affirming care clinic exclusively for trans and gender non-conforming people; hormone therapy and documentation letters.
Portland Healing House
AffirmingSliding scale
Trans-led nonprofit providing postoperative lodging and recovery care for trans people after gender-affirming surgery. Sliding scale, starting at zero cost.
PostScript Therapy LLC
Affirming
Queer- and trans-affirming practice (Stace Parlen, LMFT) offering narrative therapy and WPATH readiness letters.
QueerDoc
Affirming
Entirely queer and trans team offering expert telehealth gender-affirming care for all ages, including HRT and surgery referrals.
Quest Surrogacy
Affirming
Portland-based surrogacy agency working exclusively with LGBTQIA+ individuals and couples building families, including trans and nonbinary parents.
Rain Estrada, LPC (Daylight Counseling)
Affirming
Queer- and BIPOC-affirming trauma and EMDR therapist offering online therapy across Oregon, including WPATH gender-affirming letters.
Refresh Therapy, Inc.
Affirming
Vancouver WA group therapy practice listing LGBTQ as a specialty; in-person and virtual.
Relationship Gardening (Shannon Batts)
Affirming
Telehealth gender-affirming surgery/HRT letters (often one session), antiracist couples work, and trans-marriage support.
Reproductive Health Client Services (OHA)
Affirming
Free/low-cost contraceptive and reproductive health care for eligible Oregonians.
Sally Kraynik, NP
Affirming
Queer Oregon nurse practitioner, WPATH GEI certified, offering informed-consent hormone therapy via telehealth statewide.
Saren Craig, LPC (Resonance Portland)
Affirming
Trans/nonbinary LPC offering gender-affirming therapy and WPATH surgery letters via telehealth.
The GALAP (Gender Affirming Letter Access Project)
Affirming
Grassroots project and directory connecting trans people to therapists who pledge to write free gender-affirming care letters.
The Trevor Project
Affirming
24/7 free, confidential crisis and suicide prevention for LGBTQ+ young people by phone, text, or chat.
TLDEF's Trans Health Project
Affirming
TLDEF program providing legal resources, insurance appeal templates, and a helpline to expand trans access to health care.
Tony Mangubat, MD (La Belle Vie)
Affirming
Experienced West Coast aesthetic and reconstructive surgery center offering gender-affirming top and bottom surgery.
TransHealthCare
Affirming
Free worldwide directory of gender-affirming surgeons, searchable by procedure, U.S. state, country, and insurance.
True U Clinic
Affirming
Online informed-consent hormone therapy for trans and nonbinary people in Oregon. No referrals or therapist letters.
Undead Voice
Affirming
Trans-owned online voice transition program led by an SLP; coaching, curriculum, and community to align voice with gender identity.
Vision Center at Cascade Park
Affirming
LGBTQ+ friendly and trans safe, woman-led optometry clinic just across the river in Vancouver.
AFFIRM 2STNB
AFFIRM 2STNB is a program under Portland Mental Health & Wellness dedicated to supporting trans and nonbinary individuals and clinicians in Oregon. The program provides inclusive mental health services, professional development, and community-building resources tailored to the needs of trans/nonbinary communities, including individual and group therapy, training, and interdisciplinary partnerships.
Baby Blues Connection
Free peer support, info, and resources for parents and families coping with perinatal mood disorders.
CareOregon
Oregon's largest Oregon Health Plan (Medicaid) coordinated care organization, coverage, care coordination, ride-to-care transportation, and gender-affirming care support.
Cascadia Project Respond, Multnomah Mobile Crisis
24/7 mobile mental-health crisis response team serving Multnomah County. Call the County Crisis Line at 503-988-4888 to request a response.
DanceSafe
National harm-reduction nonprofit offering drug-checking kits, reagent testing, and fact-based drug education online and at events.
Daydream Dental
Comfort-first, inclusive family dental practice in NE Portland, with gentle care and in-house sedation for anxious patients.
Disability Rights Oregon, Plan for Work (WIPA)
Free benefits counseling through Plan for Work, Oregon's WIPA program run by Disability Rights Oregon, helps people on SSI or SSDI understand how working affects their benefits.
Elevated Access, Flights for Gender-Affirming Care
Volunteer pilots provide free, private flights for people traveling for gender-affirming or abortion care across state lines.
MTM (Trillium OHP Non-Emergency Medical Transport)
Free non-emergency medical rides for Trillium OHP members to covered appointments.
National Harm Reduction Coalition
National advocacy and capacity-building organization promoting overdose prevention, syringe access, and harm-reduction resources.
Northwest Abortion Access Fund
Regional abortion fund helping people pay for and travel to abortion care across the Northwest.
Northwest Mothers Milk Bank
The Pacific Northwest's only nonprofit human milk bank, providing safely pasteurized donor breastmilk to babies in need.
Oregon Problem Gambling Resource (OPGR)
Free, confidential statewide gambling-addiction treatment, counseling, and a 24/7 helpline for Oregonians and affected family.
Oregon Rx Card
Free statewide prescription discount card for all Oregon residents; up to 80% off medications, including drugs not covered by insurance.
Ovarian Cancer Alliance of Oregon & SW Washington
Nonprofit supporting people facing ovarian cancer through peer mentoring, support groups, financial aid, and awareness.
Planned Parenthood Advocates of Oregon
Statewide advocacy and political arm of Planned Parenthood working to protect reproductive rights in Oregon.
Postpartum Support International
National perinatal mental health helpline and provider directory, headquartered in Portland.
Ride to Care (Health Share NEMT)
Free non-emergency medical rides and transit passes for Health Share of Oregon members in the Portland metro tri-county area.
The Marie Equi Center (Equi Institute)
Free
Portland health center offering gender-affirming primary care, harm reduction, and wellness services for trans, queer, intersex, and gender-diverse people.
Safety and fit
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