If this clinic can't see you
Nearest clinics, closest first.
- Cathlamet Clinic Cathlamet, WA: sliding scale, Medicaid, uninsured welcome
- Family Hlth Ctr No. Beach Clinic Ocean Park, WA: sliding scale, Medicaid, uninsured welcome
- Community Health Center Of Clatskanie Clatskanie, OR: sliding scale, Medicaid, uninsured welcome
- Valley View Health Center - Raymond Raymond, WA: sliding scale, Medicaid, uninsured welcome
- Nehalem Bay Health Center & Pharmacy Wheeler, OR: sliding scale, Medicaid, uninsured welcome
Services offered
Behavioral health
Mental health counseling, therapy, psychiatric medication management, and crisis support.
Dental
Cleanings, exams, restorations, extractions, and urgent dental care on a sliding scale.
Enabling services
Transportation, translation, case management, outreach, and patient navigation.
On-site pharmacy
Discounted prescription fills, often through 340B pricing.
Primary care
Routine adult and family medicine, annual exams, chronic disease management.
Substance-use treatment
Medication-assisted treatment (MAT), counseling, and recovery support for opioid and alcohol use disorders.
About Coastal Family Health Center
Coastal Family Health Center is a federally qualified health center (FQHC) located in Astoria, OR. Fees are assessed on a sliding scale based on household income, uninsured patients below 200% of the federal poverty line typically pay a nominal fee of $0 to $30 per visit. The center accepts Medicaid, Medicare, commercial insurance, and uninsured patients.
Community Health Centers like Coastal Family Health Center play a critical role in serving Black families and other historically underserved populations. They are required by federal rule to accept patients regardless of insurance status or ability to pay, and they integrate medical, dental, behavioral health, and pharmacy services in a single location.
HIV testing + PrEP at Coastal Family Health Center or nearby
Every HRSA-funded FQHC offers confidential HIV testing and can prescribe PrEP (pre-exposure prophylaxis). If Coastal Family Health Center doesn't have a dedicated HIV care program, our HIV locator shows the named PrEP-prescribing clinics and testing sites across Oregon.
Mental health + behavioral health context
FQHC behavioral-health services like those at Coastal Family Health Center use sliding-scale fees that make care accessible regardless of insurance status. If you're in crisis, dial or text 988 for the 24/7 Suicide & Crisis Lifeline.
Substance use treatment context
Black overdose deaths rose roughly 40% from 2019 to 2022 per CDC NVSS, the fastest-rising drug-overdose mortality of any U.S. demographic. Medication-assisted treatment (MAT), buprenorphine, methadone, naltrexone, is the evidence-based standard of care. FQHC-based MAT addresses access barriers that disproportionately affect Black patients (DEA-waivered prescribers are more concentrated in low-income areas via FQHCs).
Coverage + benefits in Oregon
Coastal Family Health Center accepts Oregon Medicaid. FQHC certified application counselors typically cross-enroll Medicaid + WIC + SNAP at the same visit. Anyone enrolled in Medicaid is automatically income-eligible for WIC under federal adjunctive eligibility (7 CFR 246.7).
Frequently asked questions
What services does Coastal Family Health Center offer?
Coastal Family Health Center in Astoria, Oregon offers Behavioral health, Dental, Enabling services, On-site pharmacy, Primary care, Substance-use treatment.
Does Coastal Family Health Center accept Medicaid or sliding-scale fees?
Coastal Family Health Center accepts Medicaid, accepts Medicare, welcomes uninsured patients, offers sliding-scale fees based on household income.
What are the hours at Coastal Family Health Center?
HRSA lists this site as open about 67 hours a week. Call before you go to confirm today's hours.
Is Coastal Family Health Center a federally qualified health center?
Yes. Coastal Family Health Center is a federally qualified health center (FQHC) funded by HRSA Section 330. FQHCs are required by federal rule to accept patients regardless of insurance status or ability to pay, and they integrate medical, dental, behavioral health, and pharmacy services.
Where is Coastal Family Health Center located?
Coastal Family Health Center is at 2275 Commercial St, Astoria, OR 97103-3327. Phone: 503-325-8315.
Please verify before visiting. Hours, services, and insurance acceptance can change. Call the center directly to confirm they're open and accepting new patients before you go. Data last verified on April 24, 2026.
Coastal Family Health Center and the sliding-scale alternatives listed below are the right first stop. A same-day telehealth visit is self-pay and is not billed to Medicaid. If nothing nearby can see you soon:
Same-day online urgent care.
- Video visits for common infections and illnesses
- From $34, price shown before you book
- No insurance needed
with Sesame Care
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Where to go next
Free and low-cost care near Astoria, and the coverage help that goes with it.