Willamette Valley and the Oregon Coast · Astoria, Seaside and Cannon Beach · Private pay
Private pelvic floor physical therapy in Astoria, Seaside and Cannon Beach, by video.
From Astoria's hillside Victorians to the cottages of Cannon Beach, North Coast patients see Dr. Elana Shalem by video, even when US 26 is socked in or the Coast Range is icy.
- Private pay, superbill for PPO reimbursement
- No referral needed to start
- Usually seen within a week

Astoria, Seaside and Cannon Beach
Why North Coast patients choose video.
Clatsop County is fishing boats and freighters at the mouth of the Columbia, the Astoria Column above town, the Megler Bridge to Washington, the Prom in Seaside and Haystack Rock at Cannon Beach. Winters bring wind and sideways rain; summers bring visitors and second-home owners. Many locals work in hospitality, fishing or the trades, and Portland is about two hours away. Postpartum recovery, leaking, low back pain and shoulder pain from boat and kitchen work are common reasons people here book.
One-on-one with Dr. Elana Shalem, PT, DPT (CAPP-OB), licensed in Oregon: a 60-minute evaluation, then 45-minute follow-ups.
What we treat in Astoria, Seaside and Cannon Beach
Common reasons North Coast patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Astoria, Seaside and Cannon Beach
Rates are quoted on the free discovery call. A superbill after every visit supports out-of-network reimbursement from PPO plans; HSA and FSA cards are accepted. No authorizations, no plan visit limits, no waitlist.
Referrals: Oregon allows you to see a physical therapist for evaluation and treatment without a physician referral, with no visit limit. Some insurance plans still ask for one, and we check that for you.
Neighborhoods
Serving all of Astoria, Seaside and Cannon Beach
ZIP codes 97103, 97146, 97138, 97110. Any home with an internet connection works.
- Astoria
- Uppertown
- Warrenton
- Hammond
- Gearhart
- Seaside
- Cannon Beach
- Tolovana Park
- Arch Cape
Nearby: Manzanita, Tillamook and Pacific City · St. Helens, Scappoose and Columbia County · Lincoln City, Depoe Bay and Newport · All of Willamette Valley and the Oregon Coast
Questions
Questions from Astoria, Seaside and Cannon Beach
Can second-home owners in Cannon Beach have visits while at the coast?
Yes. The only rule is location: the patient must be physically in Oregon at the time of each visit, whether that is the beach house or home in Portland.
Do you treat back and shoulder pain from fishing and boat work?
Yes. Orthopedic care covers back, neck and shoulder problems from physical work. Dr. Shalem assesses movement on video and fits exercises around a fishing season or a restaurant shift.
How soon can I be seen?
Usually within a week. Early morning, evening and weekend video visits are available.
Prefer to write? Send a message.
Questions about insurance, pricing, or whether physical therapy is the right next step? We reply within one business day.
Start with a free 15-minute call.
Tell us what is going on, hear how Dr. Shalem would approach it, and decide from there.