Living in Central Oregon and needing Specialized care is in itself not a good combination.  The specialist are an hour away from where I live and there seems to be only one group of them at the major clinic.  The clinic itself I am sure is wonderful, however the GI Department is with many faults.  First off, it takes months and I mean many up to 6 months just to get a return appointment.  Can you imagine going in and seeing your Speciality for Crohn's Disease and not being able to return for an appointment for followup for over a half of a year.  That's not even with one of the Doctors that is seeing an Assistant.  That department has taken on too many patients and in my humble opinion is all about routine colonoscopies for the elderly instead of really taking care of patients with bowel diseases.  I look forward to leaving this area eventually and going somewhere where the treatment is real and they have ample doctors to help the sick.  Same goes for the other specialists you need to see.  One Infectious Disease Doctor for the whole area.  A even busier group of Rheumatologist at the same clinic that take an act of god to get into.  This is the sampling of health care you have to choose from if you move to this lovely little area outside of Portland.  It is a great place to live as long as you don't get sick.