PridePoint Health

PridePoint Health operates as a telehealth-focused primary and specialty care practice serving patients across Oregon and Washington, with Dr. Ryan Coe leading clinical services as a board-certified internal medicine physician. The Portland-based practice centers its model on LGBTQ health, HIV care, gender-affirming hormone therapy, and comprehensive sexual health services, addressing gaps in accessible, knowledgeable care for populations that often face barriers in traditional healthcare settings. Dr. Coe holds credentials from the American Academy of HIV Medicine (AAHIVM) and is affiliated with the World Professional Association for Transgender Health (WPATH), positioning the clinic to deliver evidence-based care informed by current standards in both HIV medicine and transgender health protocols.

The clinic provides gender-affirming hormone therapy for transgender and nonbinary patients, including initiation and ongoing management of estrogen, testosterone, and hormone blockers, with protocols aligned to WPATH Standards of Care. HIV care services encompass pre-exposure prophylaxis (PrEP) for HIV prevention, post-exposure prophylaxis (PEP) for recent exposure events, and antiretroviral therapy management for patients living with HIV, including viral load monitoring and resistance testing coordination. Sexual health services extend to screening and treatment for sexually transmitted infections, HPV vaccination, and counseling on risk reduction strategies. As a primary care practice, PridePoint Health also manages chronic conditions such as hypertension, diabetes, and thyroid disorders, integrating preventive care with specialty services under one clinical relationship.

Dr. Ryan Coe brings dual expertise in internal medicine and HIV care to his telehealth practice, having completed board certification in internal medicine and pursued additional training through AAHIVM credentialing. His clinical approach incorporates harm reduction principles, patient autonomy in treatment decisions, and an understanding of how social determinants and minority stress impact health outcomes for LGBTQ individuals. The practice model emphasizes continuity of care, with Dr. Coe serving as the consistent provider across visits rather than rotating through multiple clinicians. This structure allows for longitudinal relationships where patients can discuss sensitive topics—gender dysphoria, sexual health concerns, substance use, mental health—within an established therapeutic alliance. The clinic coordinates with local laboratories in Oregon and Washington for required bloodwork and works with patients to navigate insurance coverage for hormone therapy and HIV medications, including manufacturer assistance programs when applicable.

Patients access care through scheduled video visits using a HIPAA-compliant telehealth platform, eliminating travel requirements and expanding access for individuals in rural areas or those with mobility constraints. Initial consultations typically involve a comprehensive health history, discussion of treatment goals, and development of a care plan, with follow-up visits scheduled based on clinical need—often every three months for stable hormone therapy patients or more frequently for new PrEP starts or HIV treatment adjustments. Prescriptions are sent electronically to the patient's preferred pharmacy, and Dr. Coe provides guidance on lab timing and what to expect from treatments. The practice accepts insurance plans in Oregon and Washington, and the administrative team assists with prior authorizations for gender-affirming medications and HIV prevention drugs, which can require insurer documentation.

PridePoint Health distinguishes itself through its exclusive focus on populations underserved by general primary care practices, with clinical protocols specifically designed for LGBTQ patients rather than adapted from cisgender, heterosexual norms. The telehealth delivery model removes geographic barriers common in accessing knowledgeable providers for gender-affirming care and HIV services, particularly in areas outside Portland's metro region. Dr. Coe's dual AAHIVM and WPATH affiliations signal ongoing engagement with evolving standards in both HIV medicine and transgender health, ensuring clinical decisions reflect current evidence. For patients seeking a primary care provider who integrates specialty knowledge in sexual health, HIV, and gender-affirming care without requiring education of their provider on basic LGBTQ health concepts, PridePoint Health offers a streamlined, informed alternative within the Oregon and Washington telehealth landscape.