Medical Office Feasibility Study in the Portland-Vancouver-Hillsboro, OR-WA Metro Area

What SBA's own loan files show about medical office (physicians) lending in the Portland-Vancouver-Hillsboro, OR-WA Metro Area, and what a feasibility study for a project there has to test.

Portland-area medical office lending is smaller than the national pattern: a $207,600 median is 0.61x the national figure, the quotient is 0.52x, and the central loans run from $77,450 to $544,250. The area ranks 38 among 488 and the class holds 12 of 39 places locally. FY2017 to FY2026 shows 38 approvals totaling $19.8 million.

All 7(a), across the river

All loans ran through 7(a); 504 prints 0 loans, a real count rather than a suppressed one. Multnomah County, OR supplies 12 loans, Washington County, OR 10 and Clark County, WA 8, so the metro spans two states. Wells Fargo Bank National Association is listed at 5 loans and $5.0 million, a large average, with Columbia Bank (OR) at 5 loans and $1.5 million. The franchise share is 0.00%.

Years and hidden measures

FY2017 shows 6 loans and $1.1 million, FY2023 6 loans and $5.9 million, FY2025 5 loans and $1.9 million and FY2026 7 loans and $1.9 million. FY2018 through FY2022 and FY2024 are hidden. Because the cohort is under 30 loans, no cancellation rate is given for these offices, and charge-offs stay hidden. Neither is a nil, and the page gives no loss floor to compare with other metros. Neither is a zero.

What a Portland-area medical office must test

A study should name the practice and the tenant mix, and settle whether the project is a purchase, a fit-out or a move. Because the metro spans Oregon and Washington, licensing, taxes and payer rules differ, and the study should say which side of the Columbia the project sits on. Referral sources, proximity to hospitals and clinics and nearby vacancy in medical buildings all affect leasing. Tenant-improvement cost and exam-room count belong beside the $207,600 median. The loan payment should be tested against a gradual build in patient volume, and against the loss of a key provider. With only 7(a) loans in the record, a borrower seeking an owned building should ask early whether a different program would fit. The appraiser should value the building and any practice goodwill separately. Placement follows the July 2023 definitions. The study should list the specialties, the number of providers and the exam rooms the space is built for, plus the lease length each tenant will sign, since a lender and an appraiser will ask for those first.

SBA medical office (physicians) loans in the Portland-Vancouver-Hillsboro, OR-WA Metro Area

Loans approved, FY2017 to FY202638
Gross dollars approved$19.8 million
Median loan$207,600
Middle half of loans, from$77,450
Middle half of loans, to$544,250
SBA 7(a) loans38
SBA 504 loans0
Franchise share of loans0.00%
Rank among metro and micro areas for medical office (physicians) loans38 of 488
Rank of medical office (physicians) among the classes in this area12 of 39
Location quotient (share of loans against the national share)0.52x
Median loan against the national median for the class0.61x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor)not reported: fewer than 30 loans in the cohort
Charged off to date, FY2017 to FY2021 disbursed loans (a floor)withheld

Both rates are floors. SBA withholds the status of open loans, so a loan counts as charged off only once SBA reports it; a rate needs at least 30 loans in its cohort and is otherwise not reported.

SBA medical office (physicians) loans approved in the Portland-Vancouver-Hillsboro, OR-WA Metro Area, by fiscal year

02468FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 6Loans, FY2023: 6Loans, FY2025: 5Loans, FY2026: 7
Fiscal yearLoansDollars
FY20176$1.1 million
FY2018withheldwithheld
FY2019withheldwithheld
FY2020withheldwithheld
FY2021withheldwithheld
FY2022withheldwithheld
FY20236$5.9 million
FY2024withheldwithheld
FY20255$1.9 million
FY20267$1.9 million

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
Wells Fargo Bank National Association5$5.0 million
Columbia Bank (OR)5$1.5 million

Lenders with 5 or more loans here; a lender with fewer is not listed, and loans SBA or a receiver holds are counted but never listed as a lender.

Where the loans are, by county

CountyLoans
Multnomah County, OR12
Washington County, OR10
Clark County, WA8

Counties with 5 or more loans; smaller ones are not listed.

Metro is the CBSA (metropolitan or micropolitan statistical area) of the loan's project county, July 2023 delineation (OMB Bulletin 23-01). The county is matched by name (manifests/ld2/county-cbsa-map.csv); a loan whose county cannot be placed in a 2023 CBSA is left out of every metro.

A value marked withheld rests on fewer than 5 loans, or is withheld so that such a figure cannot be derived from other published figures.

Source: U.S. Small Business Administration, 7(a) and 504 loan-level FOIA files (data.sba.gov), as of 2026-09-30; areas from the U.S. Census Bureau CBSA delineation, July 2023 (OMB Bulletin 23-01); Loan Analytics metro cell MA-38900-C32.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a medical office (physicians) project in the Portland-Vancouver-Hillsboro, OR-WA Metro Area, financed under SBA 7(a), SBA 504, USDA Business and Industry or a conventional bank loan. Tell us the project and the lender's deadline, and we reply with scope, timeline and fee.

Request Scope & Timeline

Start with the data.

Contact Us