County resource guide
Autism Resources in Columbia County, Oregon
Local providers, school contacts, and support services for autism families in Columbia County. Oregon statewide resources also apply.
Columbia County (St. Helens, Scappoose, Rainier) is a Portland-area county on the Columbia River with direct access to OHSU and the metro provider network. Providence St. Vincent Medical Center is accessible across the county. Columbia River School District provides special education. Oregon FACETS provides free IEP advocacy statewide. Oregon's ODDS and Early Intervention programs serve eligible residents.
Provider directory
Local Providers10 providers in Columbia County
About our listings
Provider listings on Autism Parent Club are submitted by practices or researched from public sources. All listings are reviewed for accuracy before publication. To suggest a correction, use the “Suggest a correction” link below.
Diagnostic clinics
Formal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Astoria · multi-county
Columbia Memorial Hospital — Pediatric Services
Pediatric and developmental health services through Columbia Memorial Hospital in Astoria, the main healthcare facility for Clatsop County and Oregon's northwest corner. Complex autism evaluations are typically coordinated through OHSU Portland — about 90 miles south on US-30.
For comprehensive autism evaluations, OHSU Portland (90 min south) is the primary referral destination.
St. Helens
Providence St. Helens — Pediatric Services
Pediatric and developmental health services through Providence St. Helens in St. Helens, Columbia County's main hospital. Given proximity to the Portland metro (about 30 miles north), many families also access OHSU, Legacy Health, or Portland-area specialists for comprehensive autism evaluations.
Close to Portland metro — OHSU and Legacy Portland are practical options for full evaluations.
Early Intervention (0–3)
Free services for children under 3 under IDEA Part C.
St. Helens
Columbia County EI/ECSE — Early Intervention
Oregon EI/ECSE early intervention services for children birth through age 5 in Columbia County. Home visits, developmental therapy, and ECSE preschool for children with autism and developmental delays administered through the Columbia County ESD. Free under federal IDEA Part C.
Free under IDEA. Contact Columbia County ESD for Child Find intake.
ABA therapy
Applied Behavior Analysis therapy — typically requires insurance authorization.
Astoria · multi-county
Centria Autism — North Oregon Coast
In-home and community-based ABA therapy serving Clatsop County and the north Oregon coast. BCBA-supervised individualized programs for children and teens. Accepts Oregon Health Plan Medicaid and commercial insurance under Oregon's ABA mandate.
Coastal delivery with telehealth parent training available for remote north coast communities.
St. Helens · multi-county
Centria Autism — Northwest Oregon
In-home and community-based ABA therapy serving Columbia County and the lower Columbia River corridor. BCBA-supervised programs for children and teens. Accepts Oregon Health Plan Medicaid and commercial insurance. Proximity to Portland allows access to Portland-area providers as well.
Parent & family support
Parent groups, sibling programs, and family peer support.
St. Helens · multi-county
Autism Society of Oregon — Lower Columbia Network
Parent support network for Columbia County families affiliated with the Autism Society of Oregon. Connects families in St. Helens, Scappoose, and Rainier with Portland-area autism support communities and statewide ASO resources and events.
Astoria · multi-county
Autism Society of Oregon — North Coast Network
Parent peer support network for Clatsop County families affiliated with the Autism Society of Oregon. Connects Astoria, Seaside, and Warrenton families with virtual statewide ASO resources, peer support, and family events. Strong virtual component given the county's remote north coast location.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Astoria · multi-county
FACT Oregon — North Coast Outreach
Free IEP advocacy and special education support for Clatsop County families from FACT Oregon, Oregon's federally funded PTI. Helps Astoria, Seaside, and Cannon Beach families navigate school district IEP processes. Phone and telehealth support primary for this remote northwest corner of Oregon.
FREE. Oregon's federally funded PTI — serves all 36 counties including remote coastal Clatsop.
St. Helens · multi-county
FACT Oregon — Northwest Oregon Outreach
Free IEP advocacy and special education support for Columbia County families from FACT Oregon, Oregon's federally funded PTI. Helps families in St. Helens, Scappoose, and Rainier navigate school district IEP processes. Close enough to Portland for in-person training events.
FREE. Oregon's federally funded PTI. Columbia County's Portland proximity means in-person events are accessible.
Tillamook · multi-county
FACT Oregon — Tillamook County
Free IEP advocacy and special education support for Tillamook County families from FACT Oregon, Oregon's federally funded PTI. Telehealth and phone consultations primary for this coastal county. Helps navigate Tillamook School District IEP processes — and coaches families on how to access Portland specialists.
FREE. Remote county — FACT Oregon telehealth is the primary IEP advocacy resource.
For providers
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Helpful guides
Guides for Columbia County families
Step-by-step help on the topics that matter most.
School & IEP
Navigating the IEP process
Your rights under IDEA, how evaluations work, and what every IEP section means.
Finding help
ABA, OT, speech and waitlists
How to find qualified providers, navigate insurance, and get off waitlists faster.
Getting started
Where to start after diagnosis
A week-by-week checklist for the first 90 days — from evaluation to early intervention.
Benefits & money
SSI, Medicaid waivers, ABLE accounts
Federal benefits your child may qualify for and how to apply without losing your spot.
Mental health
Co-occurring conditions and support
Managing anxiety, ADHD, and depression alongside an autism diagnosis.
Daily life
Sensory processing and OT
Understanding sensory needs, sensory diets, and how occupational therapy helps.
Adulthood
Employment, housing, legal planning
Supported employment, housing options, guardianship alternatives, and ABLE accounts.
See all Oregon resources
Waivers, PTI centers, and state programs apply to all families in Oregon.
Oregon state guide →Nearby counties in Oregon
See something that needs fixing?
Providers move, phone numbers change, and links break — it happens. If anything on this page is out of date, wrong, or no longer working, please tell us and we’ll fix it. Keeping this accurate for autism families is the whole reason we’re here.
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