Adult Disability Care in Portland, OR: In-Home Support

Local figures

Disability Care for Adults in Portland, OR: the local picture

12%

of residents aged 18 to 64 have a disability (12% in Multnomah County)

17,929

residents aged 18 to 64 have difficulty doing errands alone

14%

of households have no vehicle (13% in Multnomah County)

25

Medicare-certified home health agencies list Portland ZIP codes in their service area

About 51,798 Portland residents aged 18 to 64 report a disability (12%; 12% in Multnomah County).

17,929 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

14% of Portland households have no vehicle (13% in Multnomah County); say in your posting if you need a caregiver who drives.

Portland compared with Multnomah County and Oregon

Census figure	Portland	Multnomah County	Oregon
Residents 18 to 64 with a disability	12%	12%	13%
Residents 18 to 64 with difficulty doing errands alone	4.1%	4.4%	5.0%
Households with no vehicle	14%	13%	7.1%
Residents 5+ who speak a language other than English at home	17%	19%	15%
Residents 65+ with a disability	33%	34%	34%
Residents 65+ below the poverty line (approx.)	12%	12%	9.9%
Median income, households headed by someone 65+	$63,808	$64,218	—

Older residents in towns around Portland

Town	Distance	Residents 65+	Disability (18 to 64)
West Haven-Sylvan, OR	5.8 mi	1,692	8.5%
Raleigh Hills, OR	6.3 mi	1,598	13%
Milwaukie, OR	6.5 mi	3,893	12%
West Slope, OR	6.6 mi	1,315	8.5%
Cedar Mill, OR	7.3 mi	2,518	5.1%
Vancouver, WA	7.4 mi	32,641	13%

Home health agencies serving Portland

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Foremen & Formen Home Health, Inc	Glendale, CA	821 mi	5 of 5	—	(626) 345-5239
Divine Mercy Home Health, LLC	Beaverton, OR	7.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(503) 608-7717
Connected Home Health	Clackamas, OR	11 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(503) 261-8599
Providence Home Health	Portland, OR	2.5 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(503) 215-4646
Signature Healthcare At Home	Tigard, OR	12 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(503) 783-2470

Straight-line miles from the center of Portland. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a disability support caregiver can help with

Personal care, on the person’s terms
Cooking, shopping and housekeeping
Getting to work, school, appointments and activities
Keeping routines the person sets

Cost

What disability care for adults costs in Portland

At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 35% of the $5,317 monthly median income of Portland households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a disability support caregiver

Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.

Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Disability Care for Adults in Portland: common questions

How much does disability care for adults cost in Portland?

At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 35% of the $5,317 monthly median income of Portland households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (U.S. Department of Labor table, updated July 1, 2026).

Can an adult with a disability hire their own caregiver?

Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Oregon.

More near Portland

More senior care near Portland

Disability Care for Adults in nearby cities

Other care in Portland

More for Portland families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

In-Home Support for Adults With Disabilities in Portland, OR