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Free, Low-Cost & Private STD Testing in Portland, OR

Looking for STD testing in Portland? Start by comparing Multnomah County STI Clinic appointments, free county outreach testing, Cascade AIDS Project testing sites, Outside In, private lab testing, and at-home STD test kits.

The best Portland option depends on what you need that day. Multnomah County does not accept walk-ins for STI clinic care, county outreach testing is narrower than a full clinic visit, and recent HIV exposure or symptoms are reasons to seek medical care promptly rather than wait on routine screening or shipping.

Last source check:

Fact-checked: June 2026. This Portland guide uses county, nonprofit, clinic, and CDC sources for clinic access, pricing, confidentiality, and urgent-exposure guidance.

Source-checked city guide

Written by

STD Test Options Editorial Team

Editorial review

Editorially reviewed against official public-health, clinic, and provider sources where available.

Sources checked

11 source listings and 4 clinic/resource listings. Availability, cost, hours, and appointment rules can change.

Medical review

Not medically reviewed. This guide is informational and is not medical advice.

Best STD testing options in Portland

Official public clinic

Need clinic care or follow-up?

Start with Multnomah County STI Clinic if you may need STI testing plus treatment guidance, PrEP support, or help after a positive result.

See county clinic details

Fast / Private / Self-pay

Need private lab testing?

Useful if you want online ordering, upfront self-pay pricing, and a paid route outside public-health or nonprofit clinic workflows.

Check private lab prices

Paid option. Lab visit required. Not a treatment clinic.

Free community testing

Need the lowest-cost screening route?

Compare county outreach testing, CAP/Pivot, and Outside In if free or community-based testing matters more than a private self-pay route.

Compare free options

Quick answer: Where should you get STD testing in Portland?

In Portland, choose based on whether you need a full clinic visit, free outreach screening, community-based support, or a private self-pay option:

  • County STI clinic: Use Multnomah County STI Clinic at 619 NW 6th Ave. for appointment-based gonorrhea, chlamydia, syphilis, and HIV testing plus PrEP and nPEP-related services when available.
  • Free outreach HIV, hepatitis C, and syphilis testing: Use Multnomah County outreach testing if you want free, no-ID, community-location screening and do not need a full STI clinic exam that day.
  • Community HIV/STI testing: CAP/Pivot and Outside In are practical Portland options if you want confidential community-based testing, prevention support, or care linked to broader health services.
  • Symptoms, treatment, pregnancy, or site-specific testing: Choose a clinic or healthcare provider instead of home-only testing so you can discuss treatment, swabs, follow-up, and the right test menu.
  • Recent HIV exposure: Do not wait on routine testing. CDC says PEP must start within 72 hours after a possible HIV exposure.
Compare private lab testing

Free or low-cost clinics in Portland

These listings are starting points, not guarantees of availability or price. Call before visiting because hours, eligibility, walk-in availability, and fees can change.

Clinic Address Tests listed Cost / eligibility Appointment Last checked
Multnomah County STI Clinic 619 NW 6th Ave., 2nd Floor, Portland, OR 97209 Multnomah County lists gonorrhea, chlamydia, syphilis, and HIV testing, plus PrEP, nPEP when available, Doxy PEP, condoms, and related sexual health services. The county says services are confidential and nonjudgmental. If insurance is not billed, it lists a $50 visit cost, says no one is turned away because they cannot pay, and says no ID or insurance is required. Call 503-988-3700. Visits are by appointment Monday-Thursday 9:00 am-4:30 pm; Friday is phone and lobby only for calls, supplies, or scheduling help. No walk-ins for clinic care. 2026-06-02
Multnomah County HIV/STI outreach testing Mobile van and community locations in Portland and Multnomah County County outreach testing includes HIV, hepatitis C, and syphilis testing using finger-stick dried-blood spot or arm blood draw options. The county describes outreach testing as free, with no ID required. Outreach testing is drop-in when available. Call 503-988-3700 for the latest schedule. The county results line is 503-988-5727, Monday-Friday 1:30-2:30 pm, and outreach results are generally available in about a week. 2026-06-02
Cascade AIDS Project / Pivot testing Pivot @ Prism Health Belmont, 2236 SE Belmont, Portland, OR; Pivot @ Prism Health Morris, 15 N. Morris St., Portland, OR; Testing 4 All, 520 NW Davis St., Suite 215, Portland, OR 97209 CAP lists free confidential HIV/STI testing, including HIV, syphilis, chlamydia, and gonorrhea testing at Pivot sites. Testing 4 All is listed separately for HIV testing only. CAP describes its testing as confidential and free of charge. Pivot testing is by appointment; call 971-279-7033. Testing 4 All event details can vary and may focus on HIV testing only, so confirm the current format before visiting. 2026-06-02
Outside In Downtown 1132 SW 13th Ave., Portland, OR 97205 Outside In lists HIV/STI testing among health services. Outside In service pages also describe counseling, treatment, reproductive healthcare, and PrEP-related support within broader medical services. Reviewed sources do not provide a simple current fee table on the main service page. CDC GetTested lists free HIV/STI testing; confirm current program eligibility, insurance handling, and any visit fees when scheduling. Call 503-535-3860 before visiting. CDC GetTested lists appointments as required, while Outside In medical pages describe in-person and video appointments. 2026-06-02

When a private lab option may make more sense in Portland

Portland has several official and nonprofit testing options worth checking first when cost or public-health follow-up matters. A private lab option may still be worth comparing if you:

  • want to order online before visiting a lab;
  • prefer upfront self-pay pricing instead of insurance billing or clinic intake;
  • want a testing path outside public-health or nonprofit settings;
  • need scheduling flexibility and do not need same-visit treatment, urgent exposure care, or site-specific swabs.
Check private lab pricing Read our STDcheck review

Paid option. Not a substitute for medical care if you have symptoms, need treatment, may need PEP, or need throat or rectal testing.

Public clinic vs private lab vs at-home STD testing in Portland

Option Best for Pros Trade-offs Next step
Multnomah County clinic Official public clinic care, treatment follow-up, PrEP support, and lower-cost visits Clear appointment phone, no ID required, no-insurance option, and no one turned away for inability to pay No walk-in care; Friday is phone and lobby support only See county clinic details
County or community testing Free screening, community access, and confidential HIV/STI prevention support Outreach and nonprofit options can reduce cost and may be easier than a formal clinic visit Some options cover fewer infections, use appointments, or are not full treatment clinics Compare free options
Private lab Self-pay privacy, online ordering, scheduling flexibility Upfront pricing and a route outside clinic intake workflows Paid out of pocket; lab visit still required; not the best choice for symptoms or urgent exposure Check private prices

Multnomah County clinic

Best for: Official public clinic care, treatment follow-up, PrEP support, and lower-cost visits

Pros: Clear appointment phone, no ID required, no-insurance option, and no one turned away for inability to pay

Trade-offs: No walk-in care; Friday is phone and lobby support only

See county clinic details

County or community testing

Best for: Free screening, community access, and confidential HIV/STI prevention support

Pros: Outreach and nonprofit options can reduce cost and may be easier than a formal clinic visit

Trade-offs: Some options cover fewer infections, use appointments, or are not full treatment clinics

Compare free options

Private lab

Best for: Self-pay privacy, online ordering, scheduling flexibility

Pros: Upfront pricing and a route outside clinic intake workflows

Trade-offs: Paid out of pocket; lab visit still required; not the best choice for symptoms or urgent exposure

Check private prices

How much does STD testing cost in Portland?

Multnomah County says STI Clinic services are confidential and nonjudgmental, no ID or insurance is required, no one is turned away if they cannot pay, and the visit costs $50 if you do not want insurance billed. The county also says it accepts many insurance plans, including OHP, Medicare, and many private plans except Kaiser.

  • Multnomah County STI Clinic: lists $50 if insurance is not billed and says inability to pay does not block service.
  • County outreach testing: is a free screening route for HIV, hepatitis C, and syphilis, but it is narrower than a full STI clinic visit.
  • CAP/Pivot: is presented as free and confidential community testing, with appointment or event-format access depending on the site.
  • Outside In: may be useful for testing linked to broader care, but confirm current fees, program eligibility, and appointment access directly.

County outreach HIV, hepatitis C, and syphilis testing may be free at community locations. Cascade AIDS Project says its HIV/STI testing is free and confidential. Outside In and other clinics may have different program rules, eligibility limits, or visit fees, so confirm current details before you go. Private labs and at-home kits are usually paid out of pocket.

See private STD test pricing

Portland testing notes: appointments, confidentiality, outreach limits, and urgent exposure timing

Multnomah County STI Clinic is the official clinic anchor at 619 NW 6th Ave. The county says services are confidential, no ID or insurance is required, and visits are by appointment Monday through Thursday; Friday is phone and lobby support only. Call 503-988-3700 before you go because there are no walk-ins for clinic care.

County outreach testing is different from the clinic. Multnomah County describes it as free, no-ID testing at community locations for HIV, hepatitis C, and syphilis, with results generally available in about a week. That can work well for screening, but it is not a replacement for a broader STI exam, treatment, or symptom evaluation.

CAP/Pivot and Outside In give Portland users more community-based options. CAP says its HIV/STI testing is free and confidential, with Pivot testing by appointment and some Testing 4 All events focused on HIV testing. Outside In lists HIV/STI testing plus broader health services, which may matter if you need primary care, reproductive care, PrEP support, or follow-up beyond screening alone.

If you may need HIV PEP after a recent exposure, do not wait for a routine appointment or mailed kit. CDC says PEP must start within 72 hours after a possible exposure. Symptoms, pregnancy-related concerns, or throat and rectal testing needs are also reasons to choose clinic or urgent medical care first.

Compare private lab testing options

Why Multnomah County is the first Portland public-health source to check

Multnomah County publishes the clearest official clinic details for Portland: the STI Clinic address, appointment phone, covered testing menu, no-walk-in rule, $50 self-pay visit note, no-ID and no-insurance policy, and inability-to-pay protection. Start there when treatment access, public-health follow-up, or official local guidance matters more than convenience alone.

How outreach testing and CAP/Pivot change the decision

Portland users do not have to rely only on the county clinic. If you mainly need free HIV, hepatitis C, or syphilis screening, county outreach may be easier because it is free and community based. CAP/Pivot adds free confidential HIV/STI testing, but the exact testing menu and appointment format vary by site, and some Testing 4 All events focus on HIV testing only.

When Portland users should choose clinic care over home-only testing

Home kits can help with privacy and convenience, but they are weaker choices when symptoms, pregnancy-related concerns, treatment needs, throat or rectal testing, or recent exposure are involved. If you may need HIV PEP, act promptly because CDC says it must start within 72 hours. In these situations, call Multnomah County, Outside In, urgent care, or another clinician instead of waiting on shipping and self-collection.

What STD test do you need?

Not sure what to test for? Use our private STD Test Finder.

Use the STD Test Finder

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When to speak with a healthcare provider

Consider contacting a healthcare provider promptly if you have symptoms, are pregnant, had a known exposure, need throat or rectal testing, or are unsure which test is right for you.

Nearby STD testing guides

FAQ

Where is the public STI clinic in Portland?

Multnomah County STI Clinic is at 619 NW 6th Ave., 2nd Floor, Portland, OR 97209. Call 503-988-3700 because visits are by appointment and the clinic does not accept walk-ins for care.

How much does Multnomah County STI Clinic cost?

Multnomah County says the visit costs $50 if you do not want insurance billed, but it also says no one is turned away if they cannot pay and no ID or insurance is required.

Is Portland STD testing confidential if I do not want to use insurance?

Multnomah County says its STI Clinic services are confidential and nonjudgmental, no ID is required, and you can choose not to bill insurance and pay the listed self-pay amount instead. Other clinics may use different privacy and billing workflows, so ask before the visit if confidentiality is your main concern.

Can I get free HIV testing in Portland?

Yes. Multnomah County outreach testing may provide free HIV, hepatitis C, and syphilis testing at community locations, and Cascade AIDS Project says its HIV/STI testing is free and confidential.

Does Portland have walk-in STD testing?

The county STI Clinic does not offer walk-in care. Some outreach or community testing options may be drop-in or event based, but they may cover fewer infections or may not provide treatment, so confirm the service before going.

Where can Portland users get STI testing with PrEP or PEP support?

Multnomah County lists PrEP services and says nPEP may be available through the STI Clinic. Outside In also lists broader HIV and medical services that may help with prevention support. If the situation is urgent, call right away rather than waiting for a routine screening slot.

How soon should I seek care after a possible HIV exposure in Portland?

Do not wait on routine testing or a mailed kit if you may need HIV PEP. CDC says PEP must start within 72 hours after a possible exposure.

Should I use a private lab or a Portland clinic?

Use a clinic or healthcare provider if you have symptoms, need treatment, may need PEP, are pregnant, or need throat or rectal testing. A private lab may fit routine self-pay screening when online ordering and upfront pricing matter most.

Compare private lab testing options

Is private STD testing worth it in Portland if free clinics are available?

It can be. Free clinics may be the best choice if cost, treatment access, or public health follow-up matters most. Private lab testing may be worth comparing if you want online ordering, upfront self-pay pricing, scheduling flexibility, or a testing path outside a public clinic setting.

Compare private lab testing options

Can I get STD testing in Portland without using insurance?

Often, yes. Some public or community clinics may not require insurance, and private lab testing is often paid out of pocket with upfront pricing. If avoiding insurance billing is important to you, compare self-pay private lab options before choosing where to test.

Clinic hours, free-testing programs, walk-in rules, eligibility, and confidentiality practices can change. Confirm current details directly with the clinic or program before you travel. STDTestOptions.com is an informational comparison site, not a clinic, lab, or telehealth provider.

Sources and methodology

Official county, clinic, nonprofit, and CDC sources used for the Portland services discussed on this page are listed below.