Transgender and Gender diverse Care in Portland, OR

Gender affirming hormone therapy clinic for transgender, nonbinary, and gender diverse folks in Portland, OR.

Welcome to our Gender Affirming Care Clinic, proudly serving Portland! We offer a supportive and inclusive environment, providing services such as expert-guided hormone therapy initiation and management, surgical readiness assessments and referrals, and additional guidance to support you on your journey. Our clinic is dedicated to delivering personalized, affirming care tailored to you. With direct access to our private clinic in Portland, OR and convenient telemedicine options, we meet you where you are.

Leading our team is Dr. Coe, a WPATH member and board-certified internal medicine physician, who is also a proud member of the LGBTQ community. Explore our services and pricing to see how we can support your health and well-being throughout your gender-affirming journey.

ABOUT Dr. COe

Board certified internal medicine physician, active member of the World Professional Association for Transgender Health (WPATH), HIV specialist certified from the American Academy of HIV Medicine, and LGBTQ+ health expert

Dr. Ryan Coe | LBGTQ Doctor | Portland, OR | PridePoint Health

Our All-Inclusive Gender Affirming Services

Experience a higher level of healthcare where your well-being comes first.
Our Gender Affirming Care membership gives you access to a wide range of comprehensive services, all included—so there’s no need to worry about surprise bills from insurance. By cutting out insurance intermediaries, we focus entirely on you, delivering personalized care with transparent, upfront pricing. Discover how our streamlined approach, extensive services, and commitment to your health can truly transform your healthcare experience.

Services Included

    • Comprehensive gender affirming care consultation

    • Gender affirming hormone management

      • Initiation of hormone therapy plan, tailored to you

      • Ongoing prescription* monitoring and adjustments

    • Routine lab monitoring

    • Management of hormone-related complications

    • Access to our private, welcoming clinic space for in-person care and lab testing* when needed

    • Telemedicine

      • Access to our services entirely via telemedicine for most◇patients in Oregon and Washington

      • Prescriptions sent via convenient mail order pharmacy or a brick & mortar pharmacy near you

      • Lab orders sent to a lab local to you

      • Ask about concierge mobile phlebotomy services for at-home blood draws

    • Injection teaching

    • Ask about clinic-administered hormone injections

    • Pre-surgical assessments and referrals to gender affirming surgeries

    • Referrals to gender affirming procedures

    • Referrals for voice coaching

    * Prescription medications are covered according to your insurance plan as usual. The cost for running lab tests and for medications administered in the clinic are offered at our negotiated, wholesale rates. You also have the option to run lab tests through your insurance, with costs depending on your specific policy.

    ◇ Folks on testosterone may be required to complete a physical exam at intake, and annually, depending on rapidly changing telemedicine laws for controlled substances

Choose your plan

Gender Affirming Care Membership

$79/month

  • Expert guidance – Receive care from a board-certified, WPATH member physician who is also part of the LGBTQ+ community.

  • Individualized, confidential hormone therapy – Gender-affirming hormone initiation and ongoing management tailored to you, including treatment for sexual side effects, hair loss, acne, and more.

  • Surgical readiness assessments and referrals – Professional assessments and referrals for gender-affirming surgeries and procedures.

  • In-person or telemedicine care – Access our welcoming Portland clinic for in-person visits, or take advantage of telemedicine from the comfort of your home for added convenience.

Popular

Maintenance Gender Affirming Care Membership

$49/month

  • Cost-friendly option – Tailored for patients on a stable hormone regimen seeking a reliable, long-term relationship with a trusted physician.

  • Consistent care and medication refills – Ensures ongoing support, regular medication refills, and access to a healthcare provider who truly understands your needs.

  • In-person or telemedicine care – Whether you prefer to visit our Portland clinic or access care from home via telemedicine, we provide flexible, convenient options.

  • See our FAQ for eligibility criteria

    • Everyone starts with the regular membership

Ask about adding on coordination of in-home lab and treatment services, available in select locations.

$99 enrollment fee waived until our November 4th launch!

Group rate: 5% off each additional member 

Annual rate: 5% off when membership paid annually

Join Today and Invest in Your Health!

Discover how our Gender Affirming Care membership can help you break free from the constraints of the traditional healthcare system. Review these quick points, then sign up to get started with personalized, evidence-based care!

Gender Affirming Care
Frequently Asked Questions

DIRECT CARE MODEL

  • Direct Care is reshaping healthcare by offering a direct, no-hassle connection to your provider through an affordable monthly membership. By cutting out insurance intermediaries, we streamline care, freeing up more time and resources to focus on what truly matters—your health. Freed from the burdens of endless paperwork and red tape, Dr. Coe, a proud member of the LGBTQ community, offers compassionate, personalized care that’s specifically attuned to the unique needs of LGBTQ patients and allies alike.

    In the traditional healthcare system, providers often juggle thousands of patients, leading to rushed visits and long waits. At PridePoint Health, we take a different approach. With a smaller patient panel, we offer longer appointments, faster scheduling, and truly individualized care. By removing the barriers of insurance, we also help you save with wholesale pricing on labs, while still allowing the flexibility to use your insurance for labs, medications, and specialty care when needed.

    Our membership model makes healthcare simpler, transparent, affordable, and focused on what really matters—your well-being.

  • A few of the many benefits include:

    • Enhanced access – Say goodbye to long waits and rushed appointments. With direct care, you get longer visits, same or next-day appointments, and direct access to your doctor when you need it.

    • Cost transparency – No more surprise bills or confusing medical costs. With direct care, you know exactly what you’re paying, with no co-pays or deductibles. You won’t need to shell out thousands to meet your deductible just to access high-quality, all-inclusive care.

    • Patient-driven care – Experience healthcare where your doctor can truly focus on you. Build a real relationship with a doctor who knows you and your health goals. With no insurance barriers or job changes to worry about, we’re here to ensure you always have access to the care and medications you need—because we answer to you, not insurance companies.

    • Small, community-based clinic - When you choose us, you’re not just getting excellent care—you’re supporting a small, local LGBTQ business that truly cares about its community. In a healthcare world dominated by big corporations where decision-makers are far removed from patient care, we stay personal, compassionate, and community-focused.

  • We understand that healthcare costs are a major concern, and not everyone can keep up with the rising expenses in the corporate healthcare system, where multiple stakeholders drive up costs. That’s why we embraced the direct care model as a more affordable alternative. Our membership often costs less than your daily coffee or phone bill, and many of our patients actually save money compared to traditional healthcare. With no copays, no inflated surprise bills, all visits included, and wholesale pricing on labs, it’s a smarter way to manage your health. Plus, you’ll enjoy same or next-day appointments, direct access to your doctor, and longer, more personalized visits. Our mission is to make high-quality care accessible and affordable—read on to find out how we can fit into your budget!

  • Yes! Pairing your insurance with our Gender Affirming Care membership can actually save you money. With our membership, you avoid the inflated costs of insurance-driven healthcare, saving on copays, surprise bills, and deductibles. By paying a simple monthly fee, you get all-inclusive care without the financial stress that comes with navigating the traditional healthcare system. Pairing this membership with a lower cost High Deductible Health Plan (HDHP) can save you nearly $700 per year. You can save almost $2,000 per when compared to a standard gold insurance plan with a low-deductible—for more details, check out our full breakdown of cost savings.

    Beyond saving money, you gain far more value for your dollar—enhanced access to your doctor who actually knows you, no wait times, unrushed visits, a long list of included services, convenient lab testing and discounted, wholesale lab prices. It’s an investment in better health and better care.

  • Do you feel frustrated with the current healthcare system? Are you hesitant to see a doctor because of the high cost? Have you ever been hit with a surprise bill weeks after a visit? Do you want a long-term, meaningful relationship with your doctor? Do you feel like there are too many barriers between you and the care you need? Would you appreciate same-day or next-day appointments that actually start on time? How about handling simple issues over email, text, or phone with your doctor?

    If any of this resonates with you, PridePoint Health could be a great fit.

  • We offer different memberships to provide tailored care for specific needs, such as PrEP and STI care or gender-affirming care. We recognize the distress of not knowing if your provider is experienced or even comfortable managing gender affirming hormones or discussing sexual health in a non-judgmental way. These memberships allow us to deliver essential services at a lower cost for those who don’t need comprehensive primary care. This also ensures continuity and personalized care without interruptions to your prescriptions. We offer a discounted rate of $89/month for those that wish to combine both PrEP and Gender Affirming memberships.

    For those seeking full primary care, our DPC membership includes all services from the PrEP and Gender Affirming Care plans.

  • To keep things simple and consistent for all of our patients, we do not provide visits or care outside of our standard membership system.

  • Yes, there is a minimum commitment of 3 months. Our goal is to build long-term, trusting relationships with our patients. To ensure we provide the highest quality care, we invest significant time and resources in the intake and onboarding process. This initial commitment allows us to get to know you and your healthcare needs, ensuring a solid foundation for personalized care moving forward.

  • We strive to provide our patients with unprecedented access to their doctor. You can message your doctor directly via text and phone 24/7, and we’ll do our best to address your needs within 1-2 business days—no more waiting days on end to hear back from your doctor!

GENERAL & MEMBERSHIPS

BILLING & INSURANCE

  • If you decide to cancel after your first 3 months, just give us a 30-day notice—no hassle. If you’ve signed up for an annual term and choose to cancel, we’ll simply refund the remaining balance of your membership. We’re always here to make the process smooth and straightforward for you!

  • HSA and FSA debit and credit cards are accepted. We take check, cash, credit card, debit cards and ACH. For more specifics on HSA/FSA funds, please consult your accountant.

  • While we don’t bill insurance directly, you can still use your insurance for healthcare outside of our services, such as medications, lab work, imaging, and specialist referrals. Our membership model is designed to simplify your experience, eliminating co-pays, deductibles, and surprise bills, while providing you with personalized, comprehensive care. Many patients find that our all-inclusive care, coupled with wholesale pricing on labs, helps them save money—even with great insurance.

  • Absolutely. Although we recommend everyone carry high deductible insurance or health sharing coverage, we do not turn anyone away due to lack of insurance. PridePoint Health does its best to make comprehensive care affordable for those with or without insurance.  We pack a lot of value into your membership. Our Gender Affirming Care membership includes as many services as possible in your plan, and you get wholesale pricing on labs with discounts ranging from 50-90% off.

GENDER AFFIRMING CARE

  • We are here to support you and understand that gender-affirming care is a medically necessary and essential service. We initiate and continue management of HRT for all members who agree to routine monitoring, follow up, and otherwise meet WPATH criteria.

  • Gender exists on a spectrum, and your care plan will reflect your unique goals and identity. We work closely with you to understand how you want to express yourself and tailor a plan to help you achieve your goals. This may include masculinizing or feminizing hormones (Testosterone, Estrogen, and Progesterone), anti-androgens (Spironolactone and Finasteride), and a variety of other medications and therapies to help you feel and look your best.

  • Yes, in many cases, gender-affirming care can be provided entirely through telemedicine. We have years of experience offering telemedicine services throughout Oregon and Washington. For feminizing hormone regimens, which do not involve DEA-regulated prescriptions, a physical exam from your local primary care clinician is typically sufficient, and we can manage the rest of your care remotely.

    For masculinizing hormone regimens that include testosterone (a DEA-regulated prescription), telemedicine laws are currently in flux. At this time, a physical exam with your local primary care clinician is adequate. However, we are monitoring the situation closely, and if laws change, we may need to require an in-person physical at intake and annually thereafter. Rest assured, we will work with you to ensure the process is as seamless as possible.

    Schedule a free meet and greet with Dr. Coe discuss your options and tailor a membership that best fits your needs.

  • Generally, no. The evaluation for readiness to start HRT is done by Dr. Coe in-house with a thorough history and physical. However, there are some circumstances where coordination with additional healthcare or mental healthcare providers may be necessary. This is only pursued when it serves the best interest of the patient.

  • While lab draws performed in our private clinic are included at no cost, the costs for running the lab tests are not included in the membership. Some patients prefer to use their insurance to cover the cost of lab testing. For those with lab co-pays or those who are uninsured or underinsured, we negotiate wholesale lab pricing at 80-90% discounts, often making lab work more affordable than it would be if using insurance. Our goal is to provide cost-effective options for all patients.

  • As an internist, Dr. Coe prescribes HRT for folks 18 years and older. We may offer pediatric care in the future, but do not have the supports in place at this time. 

  • In cases where gender affirming hormones do not effectively stop menstruation, or when there is ongoing pregnancy risk, we offer select hormonal contraceptive options, tailored to the specific HRT regimen. We also treat sexual dysfunction and side effects of HRT. This is all included in the membership. 

    For those needing additional trauma-informed, gender-affirming reproductive health care, such as pap smears, IUD/Nexplanon implants, STI assessment and treatment, and other genital conditions, we recommend joining our full DPC membership. Otherwise, these additional services should be accessed through your primary care provider.

  • We offer a maintenance membership specifically designed for gender affirming care to help lower costs for patients who are stable on hormones and only require ongoing management of their maintenance prescription with once yearly visits. To join the maintenance membership, you must meet the following requirements:

    • Routinely taking gender affirming hormones for at least 12 consecutive months.

    • Be an established member of PridePoint Health for at least 6 consecutive months.

    • Have had no changes in your hormone dose or formulation for at least 6 consecutive months.

    • Last 2 hormone lab levels in safe range, over a period of at least 6 months.

    • Not requiring our medical expertise or involvement in prior or future gender affirming procedures or surgeries.

    • Agree to annual lab monitoring and annual virtual or in-person visit.

    • Agree to return to regular Gender Affirming Care membership if no longer meeting eligibility requirements.

    Eligibility is assessed on an ongoing basis. If at any point you no longer meet the eligibility criteria, for example, due to unsafe or supra-therapeutic hormone levels, needing a medication adjustment or deciding to pursue surgery, etc., you agree to return to the regular membership until you meet the eligibility requirements again. This ensures we can continue to offer the appropriate level of care as your needs evolve, while still making this care as affordable as possible for our patients. The maintenance membership is priced for both virtual and in-person care, providing flexibility and continued support. Membership includes annual lab monitoring and a visit, as well as ongoing prescription refill management.