Medical Secretary and Administrative Assistant Salary in Portland, OR
Medical Secretaries and Administrative Assistants in the Portland-Vancouver-Hillsboro, OR-WA metro area earn a median $54,560 a year — 19% more than the national median. After 2026 taxes, that is $42,075 take-home, or $3,506 a month.
Take-home pay calculator
Pre-filled with the median medical secretary and administrative assistant salary in Portland, OR. Enter your own offer to see your paycheck.
- Federal income tax$4,367
- Social Security (6.2%)$3,383
- Medicare (1.45%)$791
- Oregon income tax$3,944
- Take-home pay$42,075
Marginal rate: 12% federal + 8.75% state
The Portland-Vancouver-Hillsboro, OR-WA metro spans Oregon, Washington. Pick the state you live in — state income tax follows your residence.
Got an offer somewhere else? Compare it with this one after taxes and rent →
Medical Secretary and Administrative Assistant pay by experience in Portland, OR
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $46,030 | $22.13 | $35,967 | $2,997 |
| 25th percentile | $48,270 | $23.21 | $37,571 | $3,131 |
| Median (50th) | $54,560 | $26.23 | $42,075 | $3,506 |
| 75th percentile | $60,350 | $29.01 | $46,220 | $3,852 |
| 90th percentile (top earners) | $73,290 | $35.24 | $54,806 | $4,567 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, Oregon resident, 2026 tax rules.
What $54,560 buys in Portland, OR
Prices in Portland, OR are 5.4% higher than the U.S. average (housing costs are 1.25× the national average). Adjusted for local prices, a median medical secretary and administrative assistant's $42,075 take-home pay has the buying power of $39,911 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
Medical Secretary and Administrative Assistant jobs are about as common in Portland, OR as in the U.S. overall (location quotient 1.11).
Best-paying cities for medical secretaries and administrative assistants, adjusted for cost of living
Portland, OR ranks #14 of 69 metro areas once taxes and local prices are taken into account.
| # | Metro area | Median salary | Take-home | Real value* |
|---|---|---|---|---|
| 1 | San Jose, CA | $69,350 | $54,380 | $49,247 |
| 2 | Seattle, WA | $60,350 | $50,671 | $45,595 |
| 3 | Sacramento, CA | $57,730 | $46,302 | $43,407 |
| 4 | San Francisco, CA | $61,330 | $48,932 | $42,324 |
| 5 | Winston, NC | $46,370 | $38,097 | $41,390 |
| 6 | Cleveland, OH | $45,920 | $38,596 | $41,094 |
| 7 | Albuquerque, NM | $47,310 | $39,127 | $40,950 |
| 8 | Cincinnati, OH | $46,180 | $38,798 | $40,682 |
| 14 | Portland, OR | $54,560 | $42,075 | $39,911 |
*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 69 metros →
About the job: medical secretaries and administrative assistants
Perform secretarial duties using specific knowledge of medical terminology and hospital, clinic, or laboratory procedures. Duties may include scheduling appointments, billing patients, and compiling and recording medical charts, reports, and correspondence.
- Typical education
- High school diploma or equivalent
- Work experience
- None required
- On-the-job training
- Moderate-term on-the-job training
- Job outlook, 2025–35
- +4.8% (about average)
Source: BLS Standard Occupational Classification and Employment Projections, 2025–35.
Frequently asked questions
How much does a medical secretary and administrative assistant make in Portland, OR?
The median medical secretary and administrative assistant salary in the Portland-Vancouver-Hillsboro, OR-WA metro area is $54,560 a year, or about $26.23 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $48,270 and $60,350.
What is a medical secretary and administrative assistant’s take-home pay in Portland, OR?
On the median $54,560 salary, a single filer living in Oregon takes home about $42,075 a year ($3,506 a month) after federal tax, Social Security, Medicare and $3,944 in Oregon taxes in 2026.
Is Portland, OR a good place to work as a medical secretary and administrative assistant?
Pay here is 19% above the national median of $45,930. Local prices are 5.4% above the U.S. average, so the take-home pay buys what $39,911 would in a typical U.S. city. Portland, OR ranks #14 of 69 metro areas for cost-of-living-adjusted pay in this job.
Can a medical secretary and administrative assistant afford rent in Portland, OR?
HUD’s fair market rent for a one-bedroom in Portland, OR is $1,677 a month ($1,922 for two bedrooms) — 48% of a median medical secretary and administrative assistant’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.
Related jobs in Portland, OR
- Executive Secretary and Executive Administrative Assistant — $78,750
- First-Line Supervisor of Office and Administrative Support Workers — $76,380
- Bookkeeping, Accounting, and Auditing Clerks — $57,040
- Secretaries and Administrative Assistants, Except Legal, Medical, and Executive — $55,360
- Information and Record Clerks, All Other — $55,040
- Billing and Posting Clerk — $52,820
- Office Clerks, General — $50,640
- Customer Service Representative — $48,650
- Shipping, Receiving, and Inventory Clerks — $48,170
- Receptionist and Information Clerk — $43,630