Tax Planning for Physicians in Portland, Oregon (2026)
Portland has some of the highest combined state and local income taxes on high earners in the country. On top of Oregon's 9.9% top rate, residents of the Metro region and Multnomah County pay two local income taxes aimed at higher earners.
2026 at a glance
| Oregon top rate | 9.9% over $125,000 single / $250,000 joint |
|---|---|
| Metro Supportive Housing Services tax | 1% on taxable income above about $128,000 (single) for 2026; joint thresholds are higher |
| Multnomah County Preschool for All tax | 1.5% over $125,000 single / $200,000 joint; 3% over $250,000 / $400,000 |
| Portland Arts Tax | $35 per adult resident with income |
Planning priorities
- A Multnomah County physician earning well over $400,000 can face a combined Oregon and local marginal rate near 13.9%.
- The Metro and Multnomah County taxes generally start from Oregon taxable income, so pre-tax retirement contributions reduce all three.
- Clark County, Washington residents who work in Portland owe Oregon nonresident tax, and the Metro and Multnomah County taxes can also reach income from work performed inside those areas.
- Oregon's pass-through entity tax runs through 2027, which helps practice owners for now.
See the full Oregon physician tax guide.
More physician tax guides
- Other Oregon cities: Eugene, Salem, Bend, Medford.
- State rules: Oregon physician tax guide and all 50 state guides.
- By specialty: Orthopedic Surgeons, Emergency Physicians, Plastic Surgeons, Surgeons and every specialty.
- Core strategy: tax planning for physicians, tax planning for medical practice owners, advanced strategies for high-income physicians and S corporation tax planning for physicians, plus the physician tax glossary.
Frequently asked questions
Who pays the Multnomah County Preschool for All tax?
Multnomah County residents with taxable income above $125,000 (single) or $200,000 (joint), and nonresidents with income from work in the county above those levels.
Get a tax plan built for your situation
GenWealth 360 builds proactive, tax-first plans for physicians, dentists and medical practice owners in all 50 states. Start with a conversation about your income, entity and goals.
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Sources
This article is for general educational purposes and is not tax, legal or investment advice. Tax law changes often and its application depends on your facts. Figures reflect 2026 rules as published by the sources listed above. Consult a qualified professional before acting. See our editorial policy.