Neenan Archistruction Delivers New Integrated Care Center on Oregon Coast

Neenan Archistruction completed the Coastal Family Health Center, a 26,000-square-foot community health center developed for Yakima Valley Farm Workers Clinic that expands access to coordinated medical, dental, behavioral health and pharmacy services for patients across the northern coast of Oregon. The two-story facility opened in January after completing construction in late 2025.

Located in Astoria, the approximately $15.5-million project includes 24 medical exam rooms, 10 dental operatories, behavioral health spaces, laboratory services and administrative support areas.

Constructed on a constrained site less than 500 feet from the Columbia River, the facility transformed a previously underutilized property into a community-serving healthcare destination. To maximize site efficiency while meeting local zoning and pedestrian-access requirements, the building was elevated above covered parking, allowing the majority of patient services to be located on the second floor. The design also incorporates Astoria’s first drive-through pharmacy, improving convenience and accessibility for patients throughout the region.

The facility’s integrated layout supports communication among care teams and enables patients to access multiple services during a single visit.

Designed with the local community in mind, the center incorporates elements inspired by Astoria’s maritime heritage. A custom sensory wall in the pediatric waiting area features reclaimed nautical artifacts, including repurposed boat components and maritime equipment, while a locally commissioned mural celebrates the character of the coastal community. Expansive windows throughout the facility provide natural light and views of the Columbia River, creating a welcoming environment for patients, visitors and staff.

Photo credit: LINCOLN BARBOUR PHOTO