Oregon's psilocybin program is shrinking. What that means for Seattleites heading south

For people in Seattle, Oregon's licensed psilocybin program is the closest legal option, about three hours down I-5. Three years after it opened, it's under real financial strain.

Who's using it

The program still draws plenty of visitors. In 2025, Oregon's licensed service centers served 5,935 clients, according to the Oregon Health Authority's year-end data, and 1,753 of them listed a home state other than Oregon; another 183 came from outside the US. Product sales inside the program totaled about $749,000. In the first quarter of 2026, centers served 1,091 clients.

Fewer places to go

Supply has moved the other way. Of the 39 service centers licensed since 2023, about half have let their licenses expire or surrendered them, the Oregon Capital Chronicle reported in July. One of the best-known, InnerTrek's Portland center, co-founded by Tom Eckert, one of the architects of Measure 109, closed in June. Many Oregon cities and counties opted out of allowing centers at all, and in Central Oregon, Redmond voters decide on November 3 whether to extend that city's ban.

Higher costs ahead

Oregon's psilocybin regulator is funded largely by license fees, and with fewer licensees the numbers stopped adding up. The state's response has two parts:

• A merger. Oregon Psilocybin Services and the Oregon Medical Marijuana Program are being combined into a single Medical Cannabis & Psilocybin section, citing budget challenges.
• Higher fees. Proposed rules would double service center and manufacturer license fees to $20,000, raise facilitator licenses to $4,000, and end reduced fees for nonprofits, veterans and low-income licensees. Public comment closed September 21, and the revised rules are scheduled to take effect January 1, 2027. Operators warned the Capital Chronicle that the increases could push more of them out.

Individual sessions have commonly cost about $850 to $3,000. Expect higher prices, and fewer choices, if the fee increases hold.

One expansion

A 2026 law, HB 4040, goes the other direction: from January 1, 2027, people trained in another state's approved program, such as Colorado's, can apply for an Oregon facilitator license, and more licensed health professionals can also work as facilitators.

If you're planning a trip

• Confirm the center is still licensed and operating before you book; OHA's client page explains how to find one.
• Ask what the price includes and whether it will change in 2027.
• You'll be screened. Anyone who has taken lithium in the past 30 days, or has been diagnosed with active psychosis, can be turned away.
• You can't take psilocybin home, and carrying any back to Washington would be illegal in both states.

Our guide to psilocybin therapy near Seattle compares Oregon, Colorado and Seattle clinical trials.

Last checked against the sources above on Oct 20, 2026. Spotted something out of date? Tell us.