Groundwork

Health care · County · Washington

Medical and dental practices in Cowlitz County, WA

Competitor counts, household spending and official business counts for medical and dental practices in Cowlitz County, WA, set against other counties and the U.S.

Groundwork market score · out of 100

Score 61 out of 100: Upper middle

Ranked #717 of 2,394 scored counties
#18 of 35 scored counties in Washington

Listings
255
20 chain locations (8%)
Official establishments
80
−3.6% since 2019
Household spending a year
$54.5M
On medical and dental services · $1,239 a household
Spending per listing
$214K
40% above the U.S.
Listings per 10k households
58.0
31% below the U.S.
Population, 2025
114,885
+3.5% since 2020

See the medical and dental practices around any address in Cowlitz County

The site report maps the medical and dental practices on map listings near the address, by name and distance, and sizes the households and spending around it. Or open the report at the center of Cowlitz County. Signed out, you see a blurred preview; on an account, each report is one action.

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Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

As of September 2026, map listings count 255 medical and dental practices in Cowlitz County. 20 of them (8%) are chain locations, against 11% across the U.S. That is 58.0 per 10,000 households, 31% below the U.S. rate of 84.5.

Household spending on medical and dental services in Cowlitz County comes to about $54.5M a year: $1,239 per household, 4% below the U.S. average. That works out to $214K per practice, 40% above the U.S. figure of $152K.

The official count of businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in Cowlitz County was 80 in 2023, down 3.6% from 2019. That is one for every 549 households, against one for every 270 across the U.S. Official counts list 24 one-person businesses without payroll. Since fiscal 2022, 1 SBA-backed loan worth $359K has gone to businesses classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in Cowlitz County.

Between 2020 and 2025, the population of Cowlitz County grew 3.5%, in step with the U.S. (+3.1%). Cowlitz County scores 61 (upper middle) on the Groundwork market score for medical and dental practices, ranking #717 of 2,394 scored counties and #18 of 35 scored counties in Washington.

How Cowlitz County compares

The same measures for Washington and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the medical and dental practices counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.

Doctors, dentists and clinics in Cowlitz County, WA compared with Washington and the U.S.
MeasureCowlitz CountyWashingtonU.S.
Listings per 10k households58.079.384.5
Spending per listing$214K$182K$152K
Households per official establishment549305270
Official establishment growth, 2019–2023−3.6%+0.2%+1.5%
Population growth, 2020–2025+3.5%+3.6%+3.1%
Spending per household on medical and dental services$1,239$1,446$1,288
Median household income$76,531$98,141$80,734
Groundwork market score6175

Official counts and lending

Businesses

Official establishments, 2019 to 2023
83 → 80−3.6% over the period
Employees, 2023
1,325
Annual payroll, 2023
$97.3M
One-person businesses, 2023
24Businesses with no payroll
Map listings, September 2026
25520 chain locations
Listings at the U.S. rate for this spending
357The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
1
Amount
$359K

SBA-backed loans to businesses classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in Cowlitz County, through June 2026, placed by the borrower’s ZIP code. Official establishments are businesses with payroll; the official counts leave out places with fewer than 3.

Population and households in Cowlitz County

Population, 2025 estimate
114,885+3.5% since 2020
Households
43,943
Median age
42.1
Homes lived in by their owners
68%
Vehicles per household
2.1
Land area
1,141 sq. mi.
People per square mile
98
Median household income
$76,531+40.4% vs. 2015–2019, before inflation
Average household income
$95,669
Median home value
$397,500
Jobs located here
40,531
Daytime population
95,784Residents who don’t work, plus everyone whose job is here

Looking at a specific site in Cowlitz County?

These figures cover the whole county. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the medical and dental practices on map listings by name and distance.

Or open the report at the center of Cowlitz County. Signed out, you see a blurred preview; on an account, each report is one action.

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Doctors, dentists and clinics across Washington

Every Washington market ranked →

The highest-scoring counties in Washington for medical and dental practices, numbered among those based in Washington, with Cowlitz County marked.

Top counties in Washington

Counties in Washington ranked for medical and dental practices by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Skamania County, WA881427.9$495K+5.2%#10 of 2,394
2Douglas County, WA873622.6$587K+8.0%#17 of 2,394
3Mason County, WA856926.5$490K+7.8%#34 of 2,394
4Lincoln County, WA831531.1$386K+9.7%#64 of 2,394
5Klickitat County, WA813636.5$341K+6.6%#91 of 2,394
6Pacific County, WA803330.1$392K+3.6%#102 of 2,394
7Pend Oreille County, WA781931.9$374K+7.1%#123 of 2,394
8Franklin County, WA7311438.1$350K+5.6%#255 of 2,394
9Grant County, WA7214240.1$302K+6.3%#290 of 2,394
10Adams County, WA692539.8$295K+4.3%#379 of 2,394
18Cowlitz County, WA6125558.0$214K+3.5%#717 of 2,394

Other business types in Cowlitz County

Each with its Groundwork market score here, out of 100, where it has one.

Questions

How many medical and dental practices are in Cowlitz County, WA?

Cowlitz County has 255 medical and dental practices on map listings as of September 2026. 20 of them (8%) are chain locations. The listings count every outpatient clinic and practice, and urgent care. Official counts show 80 businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in 2023, down 3.6% from 2019. Official counts also show 24 one-person businesses without payroll.

How much do households in Cowlitz County, WA spend on medical and dental services?

About $54.5M a year, or $1,239 per household. That is 4% below the U.S. average (an index of 96, where 100 is the U.S. average). Spread across the 255 medical and dental practices on map listings, it comes to $214K per practice. It is estimated from the incomes of the 43,943 households in Cowlitz County and national spending patterns by income.

How does Cowlitz County, WA compare with the U.S. for medical and dental practices?

Cowlitz County has 58.0 medical and dental practices per 10,000 households, 31% below the U.S. rate of 84.5. Spending per practice is $214K, 40% above the U.S. figure of $152K. At the national ratio of medical and dental practices to household spending, Cowlitz County would have about 357, against 255 on map listings. There is one business with payroll in the industry for every 549 households, against one for every 270 across the U.S. The official count fell 3.6% from 2019 to 2023, against +1.5% for the U.S.

How fast is Cowlitz County, WA growing?

Population estimates put Cowlitz County at 114,885 people in 2025, up 3.5% since 2020, in step with the U.S. (+3.1%). It has 43,943 households. Median household income in Cowlitz County is $76,531, 5% below the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 40.4%, before inflation.

What is the Groundwork market score?

The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. Cowlitz County scores 61 for medical and dental practices (upper middle), #717 of 2,394 scored counties.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Cowlitz County. It maps the medical and dental practices on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.

How the score works · Top markets for medical and dental practices · All 56 business types in Cowlitz County

Screening a site or an acquisition in Cowlitz County?

A site report maps the competitors on map listings near an address and sizes the households and spending around it.

The button opens the report at the center of Cowlitz County. Signed out, you see a blurred preview; on an account, each report is one action.

This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.

Figures are estimates for research only. Not investment or real estate advice.