Transgender and Gender Diverse Services


An Affirming Space

Outside In offers a range of services dedicated to transgender and other gender diverse patients. We strive to create a safe, affirming, and comfortable environment where everyone is treated with the dignity and respect that they deserve.

Our transgender health services are offered as part of our primary care clinic, where all our providers are trained to write referrals for gender-affirming surgeries as well as manage gender-affirming hormones (GAH). We follow the guidelines set forth by the World Professional Association of Transgender Health (WPATH) to offer care to our clients.

We understand that the gender journey of every patient is unique, and we are here to help. If you have a visit for gender-affirming hormones at our clinic, you may be given an ‘informed consent’ form to sign that explains the risks, benefits, and other important details about the medications. Your provider would answer any questions that you have, and make sure that you fully understand everything on the form before you sign it.

We are unfortunately not currently able to manage adolescent and pediatric gender-affirming care, such as puberty blockers (GnRH agonists). Our services for patients under 15 are limited for this reason.

If you have any questions about our transgender and gender diverse services, you can email us at or call 503.535.3860 and select the option 6 to speak to the Transgender Services Coordinator.

Clinic Hours

Monday 8:30 AM – 5:00 PM
Tuesday 8:30 AM – 7:30 PM
Wednesday 8:30 AM – 7:30 PM
Thursday 8:30 AM – 5:00 PM
Friday 8:30 AM – 5:00 PM

*We are closed until 12:30 p.m. on the 2nd Tuesday of every month.

Services We Provide

We are currently accepting new patients. We take most health insurance, including OHP. If you speak a language other than English, we can arrange an interpreter for you.  

Our services for our transgender and gender diverse individuals include:

  • Primary care
  • Gender Affirming Hormones (GAH, also called HRT)
  • Referrals for surgery
  • Breast/chest health and preventative screenings
  • Pelvic wellness, including cervical cancer screenings
  • HIV/STI screening, treatment, and prevention (including PrEP)
  • Behavioral health services and counseling resources
  • Information, advocacy and limited financial aid for obtaining legal name and/or gender changes

Outside In provides high quality and supportive healthcare to all our clients, whether you are questioning your gender or have been transitioning for years. If you would like a list of other health services offered at Outside In, please visit the Health Services page for more information.

To schedule a medical appointment, please call 503.535.3860 and select option 1.

Success Stories


As a patient at Outside In, the dignity, compassion, and respect that I was shown by staff truly had a lasting impact on me and directly resulted in me wanting to get involved in helping my community.


Outside In made me want to be around excellence. Outside In shaped me. It taught me how to be kind to people less fortunate.


When I came out as trans and reached out to the community for help, everyone had something good to say about Outside In.


Through these connections I was able to get into school and graduate as a Certified Medical Assistant


Through Outside In’s guidance and support, I was in my own apartment completely self-sufficient within a week.


If you met me today, you might never imagine I spent countless nights sleeping under the Burnside Bridge.


I wanted independence and stability. I wanted to belong. I found Outside In.


Housing at Outside In is so much more than a roof over your head. The staff is helpful and amazing. They were always there for us anticipating our needs. Finally, we weren’t hungry anymore and we were safe.


I feel safe at Outside In. I love Outside In people. How they love us, care for us. The wonderful and fresh food, the health care, the accommodations, the hospitalities. People talking to me, listening to me. Changing lives. It is a great moment.


By the time I was 17, I didn't trust anybody...except Outside In. The staff took my concerns seriously, and took a holistic approach. They protected me.