Vancouver Clinic Washington

With over 121,000 square-feet added across a three-site expansion, the Vancouver Clinic would grow its ability to provide healthcare services for communities across Southwest Washington. Close coordination with city and agency stakeholders helped navigate complex site challenges and a compressed schedule to completion ahead of schedule and under budget. As owner’s representative, Otak managed project delivery in the development of the new multi-specialty medical facilities.

Managing An Integrated Design Approach to Deliver a Multi-Site Healthcare Facility Expansion

Utilizing a Lean Integrated Design / Design Build approach, the Vancouver Clinic expansion designed all three facilities concurrently. The design processes were augmented by full-scale mock-ups to confirm functionality while leveraging the experiences of clinical staff and medical consultants to prioritize patient care with optimal clinic workflows. An established governance process including the Vancouver Clinic’s executive sponsorship team and two physician board structures led to efficient approvals while maintaining a high degree of integration with Vancouver Clinic operational leadership. In providing a full scope of owner’s representation across each expansion, the Otak team managed planning and design, medical equipment coordination, construction management, as well as move in and close out. For the Salmon Creek expansion, the team guided the project through various jurisdictional approval processes, including a full Certificate of Need application in Washington state. After a change in financing brought on by the pandemic, the team’s role shifted to become a strategic advisor through the completion of construction. This effort helped the client convert the project from an owner financed and constructed project to a turn-key build-to-suit with Pacific Medical Buildings, retaining all original design-build team members.

Salmon Creek

At 80,225 squre-feet, the Salmon Creek location is the largest of the expansion facilities. The three story steel construction building is home to six operating rooms as part of a state-of-the art ambulatory surgery center, a Musculo-skeletal center of excellence clinic with pain management suite, urgent care, imaging center, physical therapy and various building support spaces.

Camas/Columbia Palisades

The new Vancouver Clinic location at Columbia Palisades was the first commercial development in a former quarry which had been redeveloped for high-density commercial development in East Vancouver, Washington. The new facility is a two-story steel construction, 26,400 square-foot medical office building home to a variety of services. The team navigated supply chain, master plan, and traffic complexities amongst other issues to still complete the project under budget and ahead of schedule.


A single story, 15,400 square-foot medical office building, the Ridgefield location offers family medicine, urgent care, lab and x-ray services to the community. The team worked closely with the City of Ridgefield and WSDOT to navigate complexities with site development. The project was delivered one month early and significantly under budget.

Want to talk projects? Contact our team leads.

Senior Project Manager
“My super power is creating high trust environments between the owner, architect, contractor and consultants.”

Shawn Klinkner

Senior Project Manager

Project Manager
“I get to work with people who inspire me.”

Cathy Kraus

Senior Project Manager