Gateway Medical Clinic

Location
Portland, OR

Size
5,168 SF

A home turned office is reintroduced as a clinic.

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Medical clinic design shown in an aerial view of a neighborhood setting, with the clinic building integrated into a mixed-use area featuring surrounding streets, parking, and tree-lined sidewalks.

This nurse practitioner had a dream, but not the right building to make it a reality. Medical clinic design has the power to make a difference and, in this case, it delivered—transforming a former home into a reputable clinic.

Site plan diagram showing surrounding neighborhood blocks, streets, and trees, with the project site highlighted in context adjacent to a park and nearby buildings.
Black and white photo of an existing single-story commercial building with multiple entrances, low rooflines, and minimal street presence along a residential street.

The 1950s ranch-style building was originally a house with an attached garage. Over time it was repurposed, room after room, into office space. While the number of tenants increased, no one bothered to renovate the building. Every corner was occupied with no rhyme, reason or office relevancy. It became an official mess.

Repurposing it as a medical clinic required that every space make sense. Additionally, ADA accessibility was a mandatory requirement. While in shape and scale it was a house, it now needed to look, feel and function like an office.

Medical clinic design featuring a renovated single-story building with wood siding, horizontal windows, and a clearly defined entry, set along a street with parking and landscaped planting.
Medical clinic design featuring horizontal wood siding, clerestory windows, and a landscaped edge with ornamental grasses and shrubs along the sidewalk.

It doesn’t look like a house anymore.


The roof played a key role in the exterior makeover. By extending the old, hipped roof line, the structure now reads as one cohesive building. Gutting the remainder of the building, inside and out, then allowed the renovation to really begin.

Cedar siding, white stucco, bronze windows and a cedar rain screen provide a fresh look to the façade—a clean and simple aesthetic that creates a welcoming street presence. Clerestory windows across the front of the building add to the modern appeal of the medical clinic design. They allow light to filter into the exam rooms while maintaining privacy.

In addition to the exterior overhaul, the project involved redeveloping the entire site plan and addressing parking needs. Incorporating an accessible ramp as part of the landscape created a thoughtful entry sequence that everyone can enjoy. Further, landscaped planters treat roof and parking lot stormwater on-site.

The interior of the clinic maintains the existing entry point and then reworks every other aspect of the floor plan. By tearing down the old garage and adding an addition, the building now forms an L-shape. The new medical clinic design efficiently accommodates a check-in area, waiting room, eight exam rooms, four offices, a nurse’s station and a work room.

Medical clinic design site plan showing building footprint, roof forms, landscaped areas, accessible entry path, and adjacent parking layout with accessible spaces.
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Floor plan before renovation showing existing layout with multiple small rooms, narrow corridors, and limited circulation between spaces.
Before
Floor plan after renovation showing reorganized layout with reception area, exam rooms, offices, waiting areas, and improved circulation throughout the clinic.
After

Not only does this project meet the client’s needs, but it has also contributed to the revitalization of the community. It better serves the healthcare needs of the surrounding neighborhood while supporting the growth and redevelopment of the area.

Black and white photo of an existing single-story building with brick and siding, low roofline, and minimal entry presence along a residential street corner.
Medical clinic design featuring a renovated building with horizontal wood siding, a glass entry, accessible ramp and railings, and landscaped planting integrated with the sidewalk edge.