collage of paramedic uniform patches

Multnomah County Emergency Medical Services provides medical oversight and overall coordination of the EMS system in Multnomah County.

Multnomah County’s EMS system is made up of a variety of agencies and providers, including a franchised private ambulance company and local fire departments. Our EMS system providers work together to:

  • Receive calls through 9-1-1
  • Dispatch responders
  • Provide care
  • Transport patients to a hospital or other place of care

In Oregon, counties are responsible for regulating, monitoring and coordinating local EMS systems. Each agency operates independently, under the supervision of the Multnomah County EMS program’s medical director.

First Response

Emergency response is provided by fire agencies and private ambulance. Both are dispatched at the same time. Medical care is started by the team that arrives first. Patients are transported to the hospital by ambulance.

All first responders offer advanced life support. Ambulance teams consist of 2 paramedics.

Where We Are

Multnomah County covers 465 square miles and has 766,000 residents. It’s the smallest Oregon county and also the most populated. Portland is the main city and is divided east-west by the Willamette River, which is crossed by nearly a dozen bridges.

Large hills border the western edge of the county. Although the county is primarily urban, an eastern portion of the county is forested and unsettled, and has limited road access.

The county is bordered by Washington, Clackamas, Hood River and Columbia counties. To the north, across the Columbia River, is Washington state.

Program Functions

  • Medical supervision of fire and ambulance paramedics includes setting consistent standards and objectives for emergency care. This includes duties such as reviewing emergency medical protocols for paramedics and providing medical oversight and guidance.
  • Pre-hospital system regulation includes monitoring and enforcing ambulance response times, maintaining contracts for county first responder services, and responding to concerns from the public regarding paramedic care and ambulance transports.
  • Joint training organized and supervised by Multnomah County EMS helps fire and ambulance paramedics interpret and utilize medical protocols in a similar fashion.
  • Training coordinated by EMS is aimed at producing a higher level of standardization and an enhanced practice knowledge for all professionals providing emergency medical services.
  • Tri-County 911 Service Coordination Program (TC911). Serves Multnomah, Clackamas and Washington County residents who have frequent contact with ambulance and/or fire agencies. The program consists of licensed clinical social workers who help to connect clients with mental health and social services.

EMS Rules, Code & Ambulance Service Plan

These provide the framework for our EMS system and the services we provide to people who call 9-1-1 with a medical emergency:

EMS Administrative Rules (revised August 1, 2020) (236.37 KB)
Ambulance Service Plan (4.66 MB)
Chapter 21: Health (696.44 KB) - Multnomah County Ambulance Code §21.400 (2018)

Proposed Revision to EMS Administrative Rule 105 (November 17, 2020)

Multnomah County EMS is issuing an immediate change to minimum staffing allowances for licensed BLS ground ambulances providing non-emergency medical transportation. Minimum staffing shall be one qualified driver meeting the requirements specified in OAR 333-250-0270(6) and one EMT or above or an ambulance-based clinician.  

Current Multnomah County EMS Administrative Rules require BLS ambulances be staffed, at minimum, with 2 EMTs. This immediate change is consistent with Oregon Administrative Rule 333-255-0070  and is permitted by Multnomah County Code § 21.406 and the Multnomah County Ambulance Service Plan.

Submit public comment by December 18, 2020 to alison.j.goldstein@multco.us.

EMS Planning and Procurement: 2015-2018

In 2015, we began a public process to update our ambulance service plan, EMS code §21.400 and administrative rules. We contracted a national consultant to engage diverse stakeholders on system design and improvements, and assist with updating key documents. As a result, our ambulance service plan was updated and changes to EMS code and administrative rules followed.

With the franchise contract set to expire on August 31, 2018, we initiated a request for proposal process to select a future 911 emergency ambulance provider.

Multnomah County Ambulance Code - Amendment Ordinance (336.27 KB)
Report on Public Comment (124.21 KB)
EMS Project - Presentation Slides (307.1 KB)


Partner Agencies

Licensed Ambulance Providers

Other Fire Departments & EMS

Regional 911


Contact Us

Emergency Medical Services
619 NW 6th Ave, 6th Floor
Portland, Oregon 97209

503.988.3220
503.988.4017 fax

Staff

How to make a public records request»

Medical Director

Jon Jui, MD, MPH, FACEP
jonathan.jui@multco.us

Associate Medical Directors

Liz Hatfield-Keller MD, FACEP
Mike Murray MD, FACEP

Administration

Cesilee Fidler, Administrative Executive
cesilee.fidler@multco.us

Aaron Monnig, Health Officer Operations Manager
aaron.monnig@multco.us

Alison Goldstein, Program Supervisor
alison.j.goldstein@multco.us

Jan Acebo, EMS Coordinator
jan.acebo@multco.us

Jasmin O’Neill, Data Analyst

Tri-County 911 Service Coordination Program (TC911)

Rachel Pharris, Lead Social Worker
rachel.phariss@multco.us