✓ Last verified: January 26, 2026 — Edited & verified by Angelica Bottaro for HealingMaps Editorial Staff

Known For: Holistic ketamine therapy practice on Portland’s Mississippi Avenue offering ketamine-assisted psychotherapy with a nature-inspired, trauma-informed approach to healing.
| Google Reviews | 4.9 ⭐ (50+ reviews) |
| Location | Portland, Oregon |
| Address | 4314 N. Mississippi Ave, Portland, OR 97217 |
| Phone | (541) 399-5067 |
| Website | rainfallmedicine.com |
| Treatments | Ketamine-Assisted Psychotherapy, IM Ketamine, Integration Sessions |
| Conditions | Depression, Anxiety, PTSD, Trauma, Grief, Existential Distress |
| Cost | Contact for pricing |
| Insurance | Self-pay; superbills may be available |
| KAP Available | Yes – KAP is their core model |
| Clinical Lead | Therapist and physician team |
HealingMaps Take: Rainfall Medicine embodies Portland’s progressive approach to mental health care. Their ketamine-assisted psychotherapy model prioritizes the therapeutic relationship, preparation, and integration — not just the medicine. With a second location in Hood River, they serve both the Portland metro and the Columbia River Gorge region. Near-perfect reviews reflect deeply meaningful patient experiences.
Market Position: Rainfall Medicine treats both depression and PTSD — the two most common ketamine therapy indications, accounting for 34% of HealingMaps patient inquiries.
Industry pricing reference. Rainfall Medicine has not published specific per-session pricing — contact the clinic directly for a quote. The calculator above shows typical metro-level cost estimates across protocols, not this clinic’s specific prices.
| Protocol | Typical Industry Cost | Offered Here |
|---|---|---|
| IV Ketamine | $350–$650/session | — |
| Spravato (esketamine) | $0–$250 copay (insured) | — |
| IM Ketamine | $250–$400/injection | ✓ Yes |
| KAP (with therapist) | $400–$1,200/session | ✓ Yes |
| At-home troches | $150–$300/month | — |
Sources: CDC PLACES 2023 (Multnomah County, OR, crude prevalence) · U.S. Census ACS 5 Year · HealingMaps proprietary patient inquiry data.
Behind this data: HealingMaps has analyzed 23,496 patient inquiries (Oct 2022 – Mar 2026), mapped 1,473 verified clinics across 3,142 counties, scraped 132 clinic pricing pages, and collected 658 practitioner survey responses. This snapshot reflects our multi-source methodology.
Telehealth ketamine programs undercut in-clinic pricing by 40–60%, but 64.8% of surveyed patients still prefer supervised in-clinic treatment — a clear cost-vs-safety tradeoff patients should weigh before choosing an at-home program. Source: HealingMaps 2026 Ketamine Clinic Intelligence Report — drawn from 23,496 patient inquiries and 132 clinic website analyses.
This 4-question summary is matched to the protocols and conditions Rainfall Medicine treats. Editorial responses are HealingMaps-authored, grounded in our 2026 Ketamine Clinic Intelligence Report.
Rainfall Medicine offers KAP and IM ketamine — a 2-protocol practice. Patients can switch between or combine modalities without changing providers. Confirm specific dosing schedules and which protocols are recommended for your condition during your consult.
Yes — Rainfall Medicine offers KAP, which combines ketamine dosing with structured psychotherapy during the dissociative window. KAP sessions are longer than standalone infusions and priced accordingly. A reasonable consult question: whether KAP is delivered by a single integrated provider, or by a separate therapist working with the prescribing clinician.
Rainfall Medicine treats depression via KAP for trauma-anchored depression. Insurance coverage is rare for IV/KAP — most patients pay out of pocket. TRD is typically defined as two or more prior antidepressant trials without sufficient response — patients meeting that bar are best candidates here.
Yes — Rainfall Medicine treats anxiety, including generalized anxiety, social anxiety, and panic disorder. The evidence base for ketamine in anxiety is less robust than for depression, but it can be a meaningful option for patients who haven’t responded to SSRIs or benzodiazepines. Worth asking which of their protocols they typically recommend for anxiety-primary patients.
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