Oregon micro-market
Healthcare practice financing in The Dalles, Oregon
Direct answer
A The Dalles file is read against 194 local clinicians, 122.1 for every 10,000 of its 15,884 residents, 18 percent of them in physical, occupational, and speech therapy, plus the 0 SBA healthcare approvals worth $0 already recorded in Wasco County, 73 miles from Portland-Vancouver-Hillsboro, OR-WA.
A location page indicates that Practition Finance is taking clients in that market. It does not represent a physical office, storefront, or licensed presence in that city or state. All services are delivered remotely by our US-based team. How a referral works in Oregon, and how many partners see it, is set out on the Oregon page.
- Population: 15,884 residents (10K-25K band)1
- Healthcare providers registered here: 194 across 21 fields2
- Median household income: $62,8303
- Largest provider field: Physical, occupational, and speech therapy: 35 registered providers2
- Medicare-certified providers in town: 3 across 3 categories4
- Nearest metro: Portland-Vancouver-Hillsboro, OR-WA, 73 miles1
What NPPES records at The Dalles addresses
Counted at the town's own addresses: 194 providers, 21 fields, 122.1 clinicians per 10,000 of the 15,884 residents here
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 35 | 22.0 | NPPES [2] |
| Primary care and family medicine | 26 | 16.4 | NPPES [2] |
| Behavioral and mental health group practices | 23 | 14.5 | NPPES [2] |
| Specialty physician groups | 18 | 11.3 | NPPES [2] |
| Optometry and ophthalmology | 17 | 10.7 | NPPES [2] |
| Chiropractic | 15 | 9.4 | NPPES [2] |
| General dentistry | 15 | 9.4 | NPPES [2] |
| ABA and autism therapy | 7 | 4.4 | NPPES [2] |
| DME and HME suppliers | 6 | 3.8 | NPPES [2] |
| Independent pharmacy | 5 | 3.1 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 5 | 3.1 | NPPES [2] |
| Dental specialties | 4 | 2.5 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 4 | 2.5 | NPPES [2] |
| Dermatology | 3 | 1.9 | NPPES [2] |
| Med spa and aesthetics | 3 | 1.9 | NPPES [2] |
| Occupational health and drug testing | 3 | 1.9 | NPPES [2] |
| Home health | 1 | 0.6 | NPPES [2] |
| ASCs and OBLs | 1 | 0.6 | NPPES [2] |
| NEMT and ambulance | 1 | 0.6 | NPPES [2] |
| Audiology and hearing centers | 1 | 0.6 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.6 | NPPES [2] |
| Medical equipment suppliers | 5 | CMS [4] | |
| Ambulatory surgical centers | 1 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
A single The Dalles practice can hold more than one of these numbers. 18 percent sit in physical, occupational, and speech therapy, counted as clinicians rather than as owners.
Loan activity in Wasco County
With 0 healthcare approvals recorded, Wasco County gives a valuation almost nothing local to lean on
| Line | Amount | Reading and source |
|---|---|---|
| Healthcare files approved | 0 | Counted for the fiscal year the SBA publishes [5] |
| Dollars behind them | $0 | Everything approved to healthcare borrowers, added up [5] |
| Typical approval size | No approvals recorded | The dollar column over the approval column [5] |
| Credit offices operating locally | 15 | Places that write credit locally, NAICS 522 [6] |
Reading The Dalles the way a credit committee does
At 122.1 clinicians per 10,000 residents, the catchment radius in a projection has to be defended rather than assumed. A short county record of 0 approvals usually means more documentation and a lower advance against the same collateral. A $62,830 median household income here sets the ceiling on what an elective or cash-pay line can be expected to carry.
Programs the The Dalles mix reaches for
- Practice acquisition
- Working capital term loan
- Startup and de novo
- Expansion, relocation, and build-out
- Equipment financing and leasing
The order comes from The Dalles's own provider mix, which physical, occupational, and speech therapy dominates at 18 percent. What a partner can actually place in Oregon is a separate question.
Underwriting by field in The Dalles
physical, occupational, and speech therapy, primary care and family medicine, behavioral and mental health group practices account for most of what is enumerated in The Dalles, so those are the files funders see from this town
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Physical, occupational, and speech therapy (35) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Primary care and family medicine (26) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
| Behavioral and mental health group practices (23) | Clinician retention and productivity, Payer mix and Medicaid concentration, Re-authorization and session limit exposure | Working capital through the credentialing lag |
Local counts come from NPPES. What a file turns on is drawn from how the field is generally reviewed, not from any decision about your practice.
Density beside the neighboring Oregon towns
Density is the number that moves an appraisal: 122.1 per 10,000 here
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| The Dalles (current) | 15,884 | 194 | 122.1 | |
| Sandy | 12,990 | 78 | 60.0 | 56 |
| Troutdale | 15,749 | 55 | 34.9 | 60 |
| Fairview | 10,796 | 25 | 23.2 | 62 |
| Happy Valley | 28,969 | 176 | 60.8 | 66 |
| Gladstone | 11,898 | 70 | 58.8 | 71 |
| Milwaukie | 21,620 | 881 | 407.5 | 72 |
Distance, income, and the wage floor around The Dalles
Portland-Vancouver-Hillsboro, OR-WA lies 73 miles from The Dalles, far enough that a used chair, chairside unit, or imaging system has no nearby resale market, which is where the collateral discount comes from. Households here carry $62,830 in median income, and that ceiling decides how much of a treatment plan gets started rather than deferred. Hospital coverage inside The Dalles means a call schedule can be evidenced rather than described. A degree-granting institution here moves volume on the academic calendar. The Dalles is the Wasco County seat, so county employment steadies the payer mix.
More of Oregon
The Dalles owners, answered
01How many providers practice in The Dalles, and in what?
NPPES lists 194 providers at a The Dalles practice address, 122.1 per 10,000 residents across 21 tracked fields. Physical, occupational, and speech therapy accounts for 35 of them, 18 percent of the total, with primary care and family medicine next at 26. Read that as clinicians: 194 enumerations, not 194 owners.
02Does being 73 miles out change the underwriting?
Distance does the work here. 73 miles out, Wasco County supplies the rent and resale comparables, which usually means a slower appraisal and a harder haircut on anything a funder would have to move to sell.
03What does Wasco County's shortage designation change?
The primary care, dental, mental health designation HRSA carries on Wasco County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 15,884 residents gets past the question of who would take the job.
04Why does Wasco County show so little SBA activity?
Wasco County shows 0 approvals in the SBA healthcare file, which means an appraiser reaches outside the county for comparables. Few sales, not weak credit, is the usual reason. 15 lending establishments operate locally.
05How does the hospital in The Dalles affect a practice file?
A Medicare-certified hospital operates in the town, which gives referral flow, a call schedule, and a clinical labor pool a funder can verify. 3 Medicare-certified providers are located here in total. It also sets the wage floor behind every hire in a 122.1 per 10,000 market.
06Which fields carry the volume in The Dalles?
Volume concentrates in physical, occupational, and speech therapy, 35 of them, ahead of primary care and family medicine at 26, across 21 fields. A thin second field usually means a longer search for staff than a pro forma allows for.
Sources
- 1U.S. Census Bureau, Population Estimates, vintage 2024
- 2CMS NPPES, monthly full replacement file
- 3U.S. Census Bureau, ACS 5-year 2023, table B19013
- 4CMS Care Compare provider datasets
- 5U.S. Small Business Administration, 7(a) and 504 approvals
- 6U.S. Census Bureau, County Business Patterns 2022
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