Oregon psilocybin service centers: how it works, costs and every listed center
Oregon was the first state to license psilocybin services. Adults 21 and older, from any state, can take psilocybin at a licensed service center with a licensed facilitator, with no prescription or diagnosis. Here's how it works, what it costs, what the state's own data shows, and every service center in the state's directory.
On this page
- Who can go
- Adults 21+, from any state; no prescription or diagnosis
- Where
- Only at a licensed service center, with a licensed facilitator; nothing to take home
- Typical cost
- Median about $1,900 per session in a 2026 study; no center took insurance
- Centers
- 22 active centers (2026 study); 20 listed in the state directory
- Clients
- About 950 to 1,760 per quarter in 2025 and 2026; since spring 2025, more than half from out of state
- Possession outside centers
- A misdemeanor again since September 1, 2024
- Last checked
- October 20, 2026
How Oregon's psilocybin services work
Voters passed Measure 109 in November 2020, and the Oregon Health Authority (OHA) began licensing in January 2023. The first service center was licensed in May 2023 and centers began seeing clients that summer. Every client goes through three steps:
- Preparation session. You meet a licensed facilitator at least 24 hours and no more than 90 days before your first administration session. You'll fill out a client information form and an informed consent form, and the facilitator screens for safety issues.
- Administration session. You consume a tested psilocybin product at the licensed service center while the facilitator stays with you. State rules set minimum session lengths based on the amount consumed, up to six hours for the largest amounts allowed, and you must arrange a safe ride home. Sessions can be individual or in a group.
- Integration session (optional). Facilitators must offer at least one integration session afterward, in person or by video, and must try to contact you within 72 hours to check on you.
Facilitators must use a "nondirective" approach: they support you rather than steer the experience. Facilitators who also hold a health care license may provide health care during preparation and integration sessions, but only if they tell you in advance.
What it costs
Each center sets its own prices. When Washington University researchers posed as prospective clients and reached 15 of Oregon's 22 active centers in 2026, the median session cost was about $1,900, and none accepted insurance. All of the centers they reached followed the state's screening rules and none allowed take-home use. Many centers also offer group sessions; ask what's included before you book. Read about the study.
What the state's data shows
Since 2025, service centers have had to report client data to OHA every quarter under a 2023 law (SB 303). The figures below come from OHA's published data files.
| Quarter | Clients served | Out-of-state share* |
|---|---|---|
| Jan to Mar 2025 | 1,509 | 41% |
| Apr to Jun 2025 | 1,758 | 54% |
| Jul to Sep 2025 | 1,310 | 61% |
| Oct to Dec 2025 | 1,358 | 59% |
| Jan to Mar 2026 | 952 | 54% |
| Apr to Jun 2026 | 1,220 | 66% |
*Clients who reported a home outside Oregon, as a share of all clients in OHA's county breakdown, including those who didn't answer. OHA hides counties with very few clients, so those are left out; treat these as estimates. Clients who return in a later quarter are counted again.
- Serious reactions are rare but real. In the second quarter of 2026, centers reported 3 severe behavioral reactions and 1 severe medical reaction among 1,220 clients.
- Real-world outcomes. An OHSU-led study of about 346 Oregon clients, published in August 2026, found more than half reported improved symptoms, with four serious adverse reactions, all in first-time users. It had no control group. Read more.
Service centers in the state directory, by city
OHA publishes a licensee directory of licensees who agreed to be listed. These are the 20 service centers it listed in October 2026, with cities taken from each center's own website. Being listed isn't an endorsement, and some licensed centers aren't in the directory. Check a license with OHA's licensee lookup before booking.
| City | Service center |
|---|---|
| Portland | 7 Gates Sanctuary (Neuromycology) |
| Portland | Chariot |
| Portland | Fernlove |
| Portland | Immersive Therapies |
| Portland | Meadow |
| Portland | MindTrek (Asimov Corporation) |
| Portland | Rose Waters Sanctuary |
| Portland | Space Clinic |
| Eugene | Communitas |
| Eugene | EPIC Healing Eugene |
| Salem | Gather Psilocybin Services |
| Salem | The Psilocybin Center |
| Ashland | Omnia Group Ashland |
| Ashland | Satya Therapeutics |
| Bend | Bend Inner Alchemy |
| Corvallis | Unstuck Psilocybin Treatment Center |
| Hood River | Vital Reset |
| Not listed | Drop Thesis |
| Not listed | Emerald Valley Holistic |
| Not listed | Ripple Journeywork |
Portland has the most centers in the directory. See our Portland guide for the city's new 2026 ordinance and local options.
The program's growing pains
- Most counties opted out. 25 of Oregon's 36 counties have banned or paused service centers in unincorporated areas, and some cities have done the same.
- Closures. Roughly a third of service centers had closed by early 2026, according to Oregon Public Broadcasting.
- Fees. On September 22, 2026, OHA dropped a plan to double license fees after unanimous opposition, though the program faces a multimillion-dollar budget gap. Read more.
- Training. HB 4040 (2026) lets facilitators trained in other states, including Colorado, qualify from January 1, 2027.
- More local votes. Redmond, Reedsport and Joseph vote on November 3, 2026 on bans or moratoriums. Details.
Important limits
- You can't take psilocybin home from a service center, and possession outside the licensed system has been a misdemeanor again since September 1, 2024 (HB 4002).
- Psilocybin is still illegal under federal law. Don't carry it out of state.
- Centers can turn people away for safety reasons, including certain medications and health conditions. Read our safety guide first, especially if you take lithium or have a personal or family history of psychosis or bipolar disorder.
Frequently asked questions
Can out-of-state visitors use Oregon psilocybin service centers?
Yes. Oregon's program is open to adults 21 and older from any state or country. In 2025 and 2026, more than half of clients who reported where they live came from outside Oregon. You must take the psilocybin at the service center and can't bring any home.
How much does psilocybin therapy cost in Oregon?
Prices vary by center. A 2026 Washington University study that contacted 15 of Oregon's 22 active centers found a median cost of about $1,900 per session, and no center accepted insurance. Ask each center what its price includes.
Do I need a prescription or diagnosis in Oregon?
No. Oregon's psilocybin services are not medical treatment and don't require a prescription, diagnosis or referral. You must be 21 or older, complete a preparation session and pass the facilitator's safety screening.
How long is an Oregon psilocybin session?
State rules set a minimum length for the administration session based on how much psilocybin is consumed, ranging up to six hours for the largest amounts allowed. Your preparation session must happen at least 24 hours before, and integration sessions are offered afterward.
Is psilocybin decriminalized in Oregon?
Not anymore at the state level. Measure 110 had reduced small possession to a violation, but HB 4002 made it a misdemeanor again on September 1, 2024. Portland passed its own lowest-priority ordinance in September 2026. The licensed service center program is the legal route.
Sources
- Oregon Psilocybin Services, Oregon Health Authority, accessed October 20, 2026.
- Oregon Psilocybin Services data dashboard and data files, Oregon Health Authority, accessed October 20, 2026.
- OPS licensee directory, Oregon Health Authority, accessed October 20, 2026.
- ORS Chapter 475A, Oregon Legislature.
- OAR 333-333-5040 to 5260 (preparation, administration and integration sessions), Oregon Administrative Rules, as amended, accessed October 20, 2026.
- Oregon licenses the first psilocybin service center, Willamette Week, May 5, 2023.
- Psilocybin providers follow safety guidelines, study finds, WashU Medicine, October 12, 2026.
- Study of Oregon's legal mushroom experiment shows promise, OPB, August 19, 2026.
- Think Out Loud: Oregon's licensed psilocybin, OPB, January 22, 2026.
- OHA statement on proposed fee increases, Oregon Health Authority, September 22, 2026.
- HB 4002 fact sheet, Oregon Health Authority.
- Oregon Psilocybin Services bulletin on HB 4040, Oregon Health Authority, April 24, 2026.