Tillamook is seeing reported syphilis cases about 54% lower than the US average. Whether you have symptoms or want peace of mind in Tillamook County, Oregon, consider that community and public clinics are often low-cost or free, while private labs may offer faster results and more flexible scheduling. Your options and their trade-offs are listed below.
Available testing centers
9 testing options are listed for Tillamook, OR. The nearest, Tillamook CHC 8th Street Annex, is about 0.5 miles away. Compare community and public clinics, private labs, and at-home kits below.
Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay: required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.
Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.
Tillamook CHC 8th Street Annex, in Tillamook, carries full federal community health center standing, which means STI screening fees shift with your income rather than sitting at a fixed rate. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia testing, with no appointment needed to get started.
Tests offered
Fees & payment
Tillamook County Community Health Centers brings full community health infrastructure to STI care in Tillamook (the standard panel, sliding-scale fees, same-visit treatment for bacterial infections, and an appointment-based setup) with services available in Spanish.
Tillamook County Community Health Centers delivers STI testing, treatment, and prevention counseling directly in Spanish. For someone without a regular provider who needs to ask detailed questions, negotiate a payment plan, or understand a treatment regimen, having that exchange happen in Spanish, not summarized after the fact, changes what a visit actually produces.
Both PrEP and PEP are prescribed and managed directly at Tillamook County Community Health Centers, which means a patient who decides to start daily HIV prevention leaves with a prescription rather than a separate referral appointment weeks out.
Skipping herpes or hepatitis testing means a separate visit to a separate provider: a second co-pay, a scheduling delay, and a gap where an infection goes unmanaged. Tillamook County Community Health Centers tests for herpes, hepatitis A, hepatitis B, and hepatitis C alongside gonorrhea, chlamydia, syphilis, and HIV, closing that gap in one appointment.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Tillamook County Community Health Center - Main Street Health Center, in Tillamook, structures its fees on a sliding scale tied to income, so cost is never a barrier to care. Walk-ins are welcome for STI screening covering syphilis, gonorrhea, and chlamydia.
Tests offered
Fees & payment
A safety-net rural health clinic about 20 miles from Tillamook. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Confederated Tribes of Grand Ronde requires an appointment, so scheduling ahead is the move, and that visit covers gonorrhea, chlamydia, syphilis, and conventional HIV testing alongside STI treatment, family planning, and HPV and hepatitis A and B vaccination, all billed to Medicaid, Medicare, or insurance.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Free tool · not a clinic
Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.
| Infection | Earliest reliable test | Conclusive after |
|---|---|---|
| Chlamydia | 7 days after exposure | 14 days after exposure |
| Gonorrhea | 7 days after exposure | 14 days after exposure |
| Trichomoniasis | 7 days after exposure | 28 days after exposure |
| HIV (NAT / RNA) | 10 days after exposure | 33 days after exposure |
| HIV (4th-gen Ag/Ab) | 18 days after exposure | 45 days after exposure |
| HIV (antibody) | 21 days after exposure | 84 days after exposure |
| Syphilis | 21 days after exposure | 42 days after exposure |
| Hepatitis B | 21 days after exposure | 42 days after exposure |
| Hepatitis C | 56 days after exposure | 77 days after exposure |
| Herpes (HSV) | 28 days after exposure | 112 days after exposure |
Guidance only, confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Typical out-of-pocket ranges by option, actual cost depends on which tests you need.
Public / community clinic
Free HIV testing is common
Private lab (self-pay)
Never billed to insurance
At-home kit
Mailed to your door, private
Doctor / urgent care
Often $0 preventive with insurance
No centers match those filters. Clear the service-type filter or the opening-hours filters to see every center.
Every other option
Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.
Test from home
The nearest testing center is less than a mile away; if you'd rather skip the trip, an at-home kit ships to Tillamook, you collect the sample privately, and mail it back to a CLIA-certified lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic, no waiting room, and you can read how accurate at-home STD tests are before you order.
Want a free option first? The CDC-supported TakeMeHome (opens in a new tab) program mails free at-home HIV self-test kits, and, in many areas, free STI kits, to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.
In-home collection
$79 & up
Best value: single tests
$49 & up
Best range: couples & full panels
$79 & up
Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and treated by a clinician. Prices and panels shown are illustrative and change often, confirm current details on the provider's site.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Tillamook County, each lab's town is shown on its card below. Many test through a doctor's order or by appointment rather than walk-in, so call ahead to confirm STD/STI testing and availability before visiting.
1000 Third Street, Tillamook, OR 97141
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Tillamook. A CLIA certificate records only that a laboratory is federally certified — it does not confirm the site performs STD testing, nor its hours, price or access. Inclusion is not an endorsement; always call to verify.
Local clinicians
Beyond dedicated clinics, 26 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Tillamook. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 3 offer telehealth.
Lisa Steffey, DO
Family medicine · 801 Pacific Avenue, Tillamook
Tana Haynes, MD
Internal medicine · 1100 3rd Street, Tillamook
James Borden, MD
Internal medicine · 1011 3rd Street, Tillamook
Curtis Nerness, MD
Internal medicine · 1000 3rd Street, Tillamook
Randall Blome, MD
Family medicine · 9615 Grand Ronde Road, Grand Ronde
These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.
Nearby pharmacies
No pharmacy near Tillamook, OR publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.
Genoa Healthcare
0.6 miTillamook Pharmacy
0.6 mi
0.6 mi Fred Meyer Pharmacy
1.3 miShowing the 4 closest pharmacies to Tillamook, OR.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of Tillamook, telehealth covers the rest: HIV-prevention medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back positive. All prescribed by licensed U.S. clinicians.
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.
STD stats & rates
How reported STI rates in Tillamook County, the county that includes Tillamook, compare with Oregon and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~21% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#23 of 36 Oregon counties for chlamydia, a higher rate than 36% of the state
| Infection | Tillamook County | Oregon | United States |
|---|---|---|---|
| Chlamydia | 189.7 52 cases ▼ 48% | 362.5 | 492.2 |
| Gonorrhea | 10.9 3 cases ▼ 91% | 117.2 | 179.5 |
| Syphilis (P&S) | 7.3 2 cases ▼ 62% | 19.2 | 15.8 |
| Syphilis (early) | — no data | 9.6 | 16 |
| Syphilis (late/unknown) | 10.9 3 cases ▼ 45% | 19.7 | 29.5 |
Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.
Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.
Between 2020 and 2023 in Tillamook County, chlamydia has fallen from 189.9 to 189.7 per 100,000 (0%), gonorrhea has fallen from 51.1 to 10.9 per 100,000 (79%), and P&S syphilis has risen from 3.7 to 7.3 per 100,000 (97%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis).
Community health context
Sources: CDC PLACES (ZIP), County Health Rankings, CDC/ATSDR SVI, HRSA HPSA, HRSA MUA/P, Neighborhood Atlas ADI. Lower insurance coverage, fewer routine checkups, and a thin primary-care ratio all raise the value of low-cost public clinics and at-home testing in Tillamook County.
Local HIV snapshot
Tillamook County HIV care continuum (2022)
Tillamook County recorded 0 new HIV diagnoses per 100,000 (2022), against 6.6 statewide and 13.7 nationally. Among Tillamook County residents living with HIV, 86.4% are in care · 72.7% are virally suppressed. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Sources: AIDSVu (Emory/Gilead) · CDC AHEAD · CDC AtlasPlus · CDC NCHHSTP AtlasPlus (county care continuum). The CDC recommends everyone aged 13–64 test for HIV at least once: every lab and clinic listed above offers HIV testing, and free rapid HIV testing is available at a local health department.
Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. U.S. cases climbed from 2,163 in 2020 to 3,882 in 2023. It is almost entirely preventable: the CDC recommends a syphilis test at the first prenatal visit, and every clinic and lab listed for Tillamook County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Somewhere past the Tillamook Cheese Factory on Pacific Avenue, the drive to a clinic can stretch fifteen or twenty minutes depending on which end of town you're starting from: not a major obstacle, but real enough when you factor in a work schedule and the lack of sidewalk-friendly routes that make walking a non-starter here. That practical reality lands differently depending on who you are. With most households renting at rents that leave little cushion, and nearly half the adult population not currently in the labor force, the people likeliest to put off a screening appointment aren't indifferent. They're managing competing demands on time and money.
Younger adults in their late teens and twenties, who account for a meaningful share of Tillamook's smaller population, face the highest rates of new STI diagnoses nationally; in a town where household sizes run large and many adults are unmarried and forming new relationships, that's exactly the demographic where accessible, low-cost options matter most. The providers listed on this page range across the county and include options with sliding-scale fees, worth knowing when fewer than one in ten households here clears the income threshold where out-of-pocket costs stop being a factor. For anyone mapping a visit from near Goodspeed Park or the OR 6 corridor, the clinic cards above show which locations are closest.
Getting there
At 8.52/20 on the EPA walkability index, day-to-day errands in Tillamook generally mean driving: plan on a car or rideshare to reach a clinic, and check each listing's hours and phone before you go.
Source: EPA National Walkability Index 2021.
ZIP 97141 snapshot
ZIP-level Census figures for the wider 97141 area around Tillamook: a single ZIP can span several communities, so they describe the area, not Tillamook alone.
Tillamook sits in Tillamook County, ZIP 97141. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Tillamook? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
Reference
Everything to know before you test in Tillamook County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Oregon law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Based on current CDC screening recommendations.
| Group | Tests | How often |
|---|---|---|
| Everyone aged 13–64 | HIV | At least once |
| Sexually active women under 25 | Chlamydia, gonorrhea | Every year |
| Women 25+ with new or multiple partners | Chlamydia, gonorrhea | Every year |
| Pregnant people | HIV, syphilis, hepatitis B & C, chlamydia | Early in pregnancy |
| Gay & bisexual men (MSM) | Chlamydia, gonorrhea, syphilis, HIV | Every 3–6 months |
| Anyone who shares injection equipment | HIV, hepatitis B & C | At least yearly |
| All adults at least once | Hepatitis C | At least once |
Testing too early can return a false negative, confirm timing with a Tillamook-area provider.
| Infection | Earliest reliable test | Sample |
|---|---|---|
| Chlamydia | 1–2 weeks | Urine or swab |
| Gonorrhea | 1–2 weeks | Urine or swab |
| Trichomoniasis | 1–4 weeks | Urine or swab |
| HIV (NAT / RNA) | 10–33 days | Blood |
| HIV (4th-gen Ag/Ab) | 18–45 days | Blood |
| HIV (antibody) | 3–12 weeks | Blood / oral |
| Syphilis | 3–6 weeks | Blood |
| Hepatitis B | 3–6 weeks | Blood |
| Hepatitis C | 8–11 weeks | Blood |
| Herpes (HSV) | 4–16 weeks (antibody); swab a sore | Blood / swab |
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Tillamook often test free or on a sliding scale; private labs and at-home kits bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full guide to STD test costs for insurance, free, and at-home options.
| Test | Reference price | CPT / HCPCS |
|---|---|---|
| Chlamydia (NAAT) | $47.80 | 87491 |
| Gonorrhea (NAAT) | $47.80 | 87591 |
| Trichomoniasis (NAAT) | $47.76 | 87661 |
| HIV-1/2 antigen/antibody | $26.87 | 87389 |
| HIV-1/2 antibody | $22.44 | 86703 |
| Syphilis (RPR/VDRL) | $5.61 | 86592 |
| Syphilis (treponemal antibody) | $17.49 | 86780 |
| Herpes (HSV NAAT) | $47.76 | 87529 |
| Hepatitis B surface antigen | $15.33 | 87340 |
| Hepatitis C antibody | $29.16 | 86803 |
Source: Medicare Clinical Laboratory Fee Schedule, CMS, 2025 rates (data.cms.gov). Reference rate for the lab assay only: a clinic visit, sample collection, or a bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.
Two things that actually depend on Oregon law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).
In Oregon, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Oregon permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.
Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.
Learn more about confidential STD testing in OregonSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
Yes, several local labs offer same-day walk-in testing; best to call first.
Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Tillamook County reported ~190 chlamydia cases per 100,000 in 2023, below the Oregon average.
In Oregon, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Many STIs are fully cured with antibiotics; others, like HIV and herpes, are well managed with treatment.
Yes, a syphilis sore can heal while the infection stays and silently progresses, so a blood test is the only way to be sure.
Yes, most STIs cause no symptoms for a long time, which is exactly why routine screening matters.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.