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

Rainfall Medicine in Portland, Oregon logo

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 Reviews4.9 ⭐ (50+ reviews)
LocationPortland, Oregon
Address4314 N. Mississippi Ave, Portland, OR 97217
Phone(541) 399-5067
Websiterainfallmedicine.com
TreatmentsKetamine-Assisted Psychotherapy, IM Ketamine, Integration Sessions
ConditionsDepression, Anxiety, PTSD, Trauma, Grief, Existential Distress
CostContact for pricing
InsuranceSelf-pay; superbills may be available
KAP AvailableYes – KAP is their core model
Clinical LeadTherapist 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.

Is Rainfall Medicine Right for You?

✓ Choose Rainfall Medicine if:

  • You’re seeking ketamine-assisted psychotherapy (KAP) with a licensed therapist alongside dosing
  • You prefer the shorter, lower-cost IM ketamine protocol
  • You’re treating co-occurring depression and PTSD

✗ Look elsewhere if:

  • You’re seeking ketamine for chronic pain (this clinic focuses on mental health)

Ketamine Protocols Compared — What’s Offered at Rainfall Medicine

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.

ProtocolTypical Industry CostOffered 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

What to Expect at Your First Rainfall Medicine Appointment

  1. Initial intake call — Medical history review and clinical eligibility check. Call (541) 399-5067 or visit rainfallmedicine.com to schedule.
  2. Medical evaluation — in-person or telehealth psychiatric assessment, vitals check, and review of current medications with the Rainfall Medicine clinical team.
  3. First treatment session — supervised IM ketamine injection in a private treatment room, lasting approximately 60 minutes (15-minute injection + 45 minutes recovery). Sessions are held at 4314 N. Mississippi Ave, Portland, OR 97217. You’ll have a comfortable chair or recliner, dim lighting, and direct medical monitoring throughout.
  4. Recovery and follow-up — observation period after dosing, mood check-in with the clinical team, and scheduling your next session. Arrange for a ride home; do not drive for 24 hours after your IM session.

What to Ask on Your Rainfall Medicine Consult Call

  • How long has the Rainfall Medicine clinical team been delivering ketamine therapy, and what specialty training do your providers hold?
  • What’s Rainfall Medicine’s typical full-program cost for the integration-therapy bundle, and do you accept HSA/FSA payments?
  • How do you coordinate with Oregon’s psilocybin therapy framework if I decide to explore other psychedelic options after ketamine?
  • Is the therapist who guides KAP sessions independently licensed, and how long are integration sessions after the dosing portion?
  • What does Rainfall Medicine recommend for patients who don’t respond to the standard 6-session acute series?

Portland Ketamine Market Snapshot

Sources: CDC PLACES 2023 (Multnomah County, OR, crude prevalence) · U.S. Census ACS 5 Year · HealingMaps proprietary patient inquiry data.

  • Adult depression in Multnomah County, OR: 29.9%
  • Frequent mental distress (14+ days per month): 18.3%
  • Adults lacking health insurance: 7.5%
  • Multnomah County population: 808,098 · median household income $83,668
  • Recent Portland-area inquiries to HealingMaps: A growing stream of Oregon residents have recently contacted us seeking ketamine care

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.

From the 2026 Ketamine Industry Report

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.

Patient Questions about Rainfall Medicine

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.

What ketamine protocols does Rainfall Medicine offer?

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.

Does Rainfall Medicine offer ketamine-assisted psychotherapy (KAP)?

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.

Is Rainfall Medicine suited for treatment-resistant depression?

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.

Can Rainfall Medicine help with anxiety disorders?

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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Healing Maps Editorial Staff

Healing Maps Editorial Staff

View all posts by Healing Maps Editorial Staff

The Healing Maps Editorial Team has decades of experience across all facets of the psychedelic industry. From assessing studies and clinic research, to working with clinician's and clinics, we help provide data-backed information to psychedelic-curious individuals across the globe.

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