Disability Support Services in Astoria, OR
Person-centered in-home attendant care for individuals and families across Clatsop County, Tillamook County, and the Oregon Coast.
Astoria at a Glance
- Services Available
- In-Home Attendant Care
- County
- Clatsop County
- Local CDDP
- Clatsop Behavioral Healthcare — CDDP · 503-325-5722
- Nearest Day Support Activities
- Salem
Disability Support Agency Serving Astoria & Oregon's North Coast
Oregon's North Coast is one of the most beautiful stretches of coastline in the country — but for families navigating intellectual and developmental disability services, beauty alone doesn't solve the challenge of finding reliable care in a rural region. Astoria, the seat of Clatsop County, sits at the mouth of the Columbia River nearly 100 miles northwest of Portland. To the south, Tillamook anchors its own county along the coast. Between them, communities like Seaside, Cannon Beach, and Manzanita draw millions of tourists each year, yet the year-round residents of these areas often face limited access to specialized disability support providers.
North Star Oregon brings statewide experience to the North Coast, providing in-home attendant care to individuals with intellectual and developmental disabilities in Clatsop and Tillamook counties. We work alongside the local Community Developmental Disabilities Programs — Clatsop Behavioral Healthcare in Warrenton and the Tillamook County CDDP operated through Tillamook Family Counseling Center — to ensure that families here receive person-centered support without needing to leave their communities.
The North Coast economy runs on tourism, fishing, and small business. Clatsop County has a population of roughly 41,000; Tillamook County about 27,000. These are tight-knit communities where provider shortages, long waitlists, and significant travel distances to services in Portland have long been facts of life. North Star Oregon exists to close that gap — delivering consistent, high-quality disability support directly to the homes and communities where our clients live.
Disability Support Services on Oregon's North Coast
Reaching Families Where the Road Ends at the Ocean
The North Coast presents unique geographic challenges. Highway 101 connects communities along the coast, but winter storms, single-lane bridges, and mountain passes between the coast and the Willamette Valley can make travel unpredictable. For families coordinating disability services through county CDDPs, these distances amplify the difficulty of accessing care. North Star Oregon was built to serve areas like this — bringing support directly to homes in Astoria, Seaside, Tillamook, and the smaller communities in between, so families aren't left waiting or driving hours for help. Our services are coordinated through Oregon's K-Plan and the Office of Developmental Disabilities Services (ODDS). If you're already working with a service coordinator at Clatsop Behavioral Healthcare or the Tillamook Family Counseling Center CDDP, we can integrate directly with your existing support team. If you're new to the system, we'll help you understand the process from the start.
Consistent Care Built on Trust
On the North Coast, where everyone knows their neighbors and community ties run deep, trust isn't optional — it's essential. Every North Star Oregon support worker is trained, background-checked, and intentionally matched to the individual they serve. We prioritize long-term consistency, because the person who shows up at your door matters as much as the services they provide.
In-Home Attendant Care Services in Astoria & the North Coast
In-home attendant care is the core of what North Star Oregon offers on the North Coast. For individuals with intellectual and developmental disabilities living in Astoria, Tillamook, or the coastal communities in between, attendant care provides one-on-one support in the comfort and familiarity of home. This is especially critical in a region where the nearest specialized facility may be a two-hour drive toward Portland, and where harsh coastal weather can make travel unreliable for months at a time.
Our attendant care workers come to you — whether you live in downtown Astoria, the hills above Tillamook, or a smaller community along Highway 101. Rather than asking clients to fit their lives around a facility's schedule, we build support plans around each individual's goals, routines, and preferences.
- Personal care and daily living support
- Skill building toward greater independence
- Community access and social engagement
- Assistance with medical appointments and errands
- Meal preparation and household task support
- Companionship and consistent, familiar support
Day Support Activities Near Astoria & the North Coast
North Star Oregon offers Day Support Activities (DSA) at locations in Albany, Corvallis, Eugene, Springfield, Salem, and Tangent — but DSA groups are not currently based on the North Coast. For individuals in Clatsop and Tillamook counties, our in-home attendant care services are the primary way we provide community engagement, skill building, and meaningful daily support.
If there is demand for group-based programming on the Oregon Coast, we want to hear about it. Community interest helps us plan where to grow next. In the meantime, our attendant care team delivers robust, individualized support to North Coast families every day.
Ready to talk about care in Astoria?
A real person on our team will reply within one business day — no phone trees, no intake robots.
Services are typically at no out-of-pocket cost to families, funded through Oregon's K-Plan (Medicaid).
North Coast Disability Resources
- Clatsop Behavioral Healthcare — CDDP — The Community Developmental Disabilities Program for Clatsop County. Your starting point for eligibility and service coordination.
- Tillamook Family Counseling Center — CDDP — The Community Developmental Disabilities Program for Tillamook County, providing access to local, regional, and statewide I/DD resources.
- Northwest Senior & Disability Services (NWSDS) — Regional agency serving seniors and adults with physical disabilities in Clatsop and Tillamook counties, providing Medicaid long-term care access, caregiver support, and service referrals. Astoria office: 503-338-6230.
Phone: 503-338-6230
- Disability Rights Oregon — Statewide protection and advocacy organization supporting self-advocacy, legal assistance, and rights expansion for people with disabilities.
Phone: 1-800-452-1694
- Oregon Family Support Network — Clatsop/Columbia/Tillamook — Parent-to-parent support warmline connecting families of children with behavioral health needs to trained parent mentors.
About North Star Oregon
Founded in 2021, North Star Oregon has grown from a Willamette Valley provider into a statewide disability support agency serving individuals with intellectual and developmental disabilities across Oregon — including the rural communities of the North Coast. Our founders bring over a decade of experience in residential support, case management, and program development. We believe that where you live shouldn't determine the quality of care you receive. On the North Coast, that means showing up for families in Astoria, Tillamook, and everywhere in between — not as an outsider, but as a dependable partner committed to this community for the long term.
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@northstarcaresQuestions about services in Astoria?
A real person on our team will reply within one business day — no phone trees, no intake robots.