ZIP code
98664
in Vancouver, WashingtonPopulation 23,845
54.27/ 100
Ranked #10,346 of 32,066 US ZIPs (top 32%)
Ranked #265 of 581 Washington ZIPs (top 46%)
Ranked #65 of 120 Portland-Vancouver-Hillsboro, OR-WA ZIPs (bottom 46%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
What defines this ZIP
Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.
Air-toxics cancer risk
40.7 per million
in the top 2.0% nationally
Lower is healthier
ST99thUS98thDefinition & source ›
The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.
Full methodology ›Industrial-pollution burden
in the top 4.3% nationally
Lower is healthier
ST96thUS96thDefinition & source ›
The EPA’s modeled screening score for industrial chemical releases, weighting the amounts released by their toxicity and how many people live nearby — a relative comparison score, not a measured exposure.
Full methodology ›PFOA in drinking water
98%
in the top 4.9% nationally
Lower is healthier
ST98thUS95thDefinition & source ›
The share of residents served by public water systems where PFOA, one of the man-made “forever chemicals,” was detected in EPA testing.
Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.
Full methodology ›PFOS in drinking water
98%
in the top 5.1% nationally
Lower is healthier
ST96thUS95thDefinition & source ›
The share of residents served by public water systems where PFOS, one of the most common “forever chemicals,” was detected in EPA testing.
Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.
Full methodology ›Walkability
130 intersections/sq mi
in the top 6.8% nationally
Higher is healthier
ST92ndUS93rdDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›Transportation noise
10.2%
in the top 8.2% nationally
Lower is healthier
ST92ndUS92ndDefinition & source ›
The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.
Full methodology ›Energy-cost burden
1.6%
in the bottom 6.3% nationally
Lower is healthier
ST27thUS6thDefinition & source ›
The modeled share of household income spent on home energy bills — electricity, gas, and heating fuels.
A modeled share of household income spent on home energy. Estimates that hit the model’s 100% ceiling are suppressed rather than published, because at that point the figure reflects the model’s limit rather than a measured burden.
Full methodology ›Physician access
1.5 per 1,000 residents
in the top 11.1% nationally
Higher is healthier
ST91stUS89thDefinition & source ›
The number of physicians’ offices located inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Loud transportation noise
1.4%
in the top 12.2% nationally
Lower is healthier
ST90thUS88thDefinition & source ›
The modeled share of residents exposed to average road, rail, and aviation noise at or above 65 decibels — around the volume of normal conversation.
Full methodology ›PFAS in drinking water
98%
in the top 12.5% nationally
Lower is healthier
ST92ndUS88thDefinition & source ›
The share of residents served by public water systems where PFAS — man-made “forever chemicals” that build up in the body and environment instead of breaking down — were detected in EPA testing.
Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.
Full methodology ›The read
ZIP 98664, one of several in Vancouver, Washington, overall, ranks in the top 32% healthiest ZIPs nationally (10,346th) and the top 46% of Washington (265th).
Taken together, the data gives a genuinely mixed reading: distance to an emergency room registers at the national minimum, shared with about 11% of ZIPs. Walkability resides in the top 6.8% nationally, modeled energy burden settles in the bottom 6.3% nationally, and modeled humid heat is in the bottom 11.1% nationally. Physicians sits in the top 11.1% nationally. On the other side, modeled air-toxics cancer risk lands in the top 2.0% nationally, and industrial-pollution burden lies in the top 4.3% nationally. PFOA in drinking water stands in the top 4.9% nationally, and PFOS in drinking water rests in the top 5.1% nationally. Modeled transportation noise registers in the top 8.2% nationally.
Measured against the nearby ZIPs, park land runs far higher than the surrounding ZIPs on this measure. Defined simply, air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. PFOA in drinking water is one of the man-made "forever chemicals" that build up in the body and environment instead of breaking down. ZIP 97211, just across the boundary, comes out healthier overall.
What’s driving this score
Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts. Compare it against the US, this state and the Portland-Vancouver-Hillsboro, OR-WA metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Chronic Disease Burden
healthier than 75%
21%
Social Need / SDOH
healthier than 76%
16%
Risk Behavior
healthier than 90%
11%
Disability
healthier than 74%
7%
Climate / Disaster Risk
healthier than 82%
5%
Healthcare Access
in the top 0.00%
5%
Holding it back
Environmental Hazard
healthier than 5%
14%
Preventive Care
healthier than 26%
13%
Mental Health
healthier than 21%
8%
Lifting this score
Risk Behavior
healthier than 65%
11%
Healthcare Access
in the top 0.00%
5%
About typical
Chronic Disease Burden
healthier than 55%
21%
Preventive Care
healthier than 46%
13%
Disability
healthier than 58%
7%
Climate / Disaster Risk
healthier than 47%
5%
Holding it back
Social Need / SDOH
healthier than 40%
16%
Environmental Hazard
healthier than 6%
14%
Mental Health
healthier than 29%
8%
Lifting this score
Healthcare Access
in the top 0.00%
5%
About typical
Chronic Disease Burden
healthier than 58%
21%
Preventive Care
healthier than 42%
13%
Risk Behavior
healthier than 60%
11%
Mental Health
healthier than 55%
8%
Disability
healthier than 50%
7%
Climate / Disaster Risk
healthier than 45%
5%
Holding it back
Social Need / SDOH
healthier than 30%
16%
Environmental Hazard
healthier than 32%
14%
“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›
Findings that name this ZIP
2 of our published findings list this ZIP code. Each finding compares one published measure against a stated benchmark, and names only the ZIP codes whose estimates are reliable enough to rank. See all surprising findings.
Heavy environment, light chronic burden
Where the environment and chronic illness point in opposite directions
Environmental-hazard standing 5.3 (bottom 10%); chronic-disease standing 75.0 — 70 points apart, heavier on the environment than it is on chronic illness.
Ranked #16,359 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.
Highest-risk tenth
Air toxics and the years between the two ends of the risk scale
Modeled air-toxics cancer risk is 40.7 cases per million — among the tenth of compared ZIP codes with the most. Estimated life expectancy is 79.2 ± 1.4 years.
Ranked #401 of the 4,173 ZIP codes this finding names, ordered by modeled air-toxics risk, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
97211
Oregonshares a border
Score 55.06
Closest healthier
98683
Washingtonshares a border
Score 57.53
Similar health profile
84067
Utah98% similar profile
Score 54.73
How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured
Evidence
Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.
Health OutcomesCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 26.2% | 24.2–28.1 |
| High blood pressure among adults | 31.7% | 29.5–33.9 |
| Cancer (non-skin) or melanoma among adults | 8.8% | 8.1–9.6 |
| Current asthma among adults | 11.6% | 10.6–12.8 |
| Coronary heart disease among adults | 5.8% | 5.3–6.4 |
| Chronic obstructive pulmonary disease among adults | 5.7% | 5.1–6.3 |
| Depression among adults | 26.7% | 24.3–29.0 |
| Diagnosed diabetes among adults | 9.9% | 8.9–11.1 |
| High cholesterol among adults who have ever been screened | 33.9% | 31.5–36.2 |
| Obesity among adults | 35.6% | 32.3–39.0 |
| Stroke among adults | 3.1% | 2.9–3.4 |
| All teeth lost among adults aged >=65 years | 7.5% | 6.1–8.9 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.3% | 7.3–9.4 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 72.8% | 70.3–75.2 |
| Visits to doctor for routine checkup within the past year among adults | 69.5% | 66.9–72.1 |
| Cholesterol screening among adults | 84.2% | 82.6–85.8 |
| Colorectal cancer screening among adults aged 45–75 years | 67.1% | 63.9–69.9 |
| Visited dentist or dental clinic in the past year among adults | 66.7% | 64.2–69.0 |
| Mammography use among women aged 50-74 years | 74.9% | 69.9–78.9 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.1% | 14.3–18.1 |
| Current cigarette smoking among adults | 10.5% | 9.2–11.9 |
| No leisure-time physical activity among adults | 19.8% | 17.7–22.2 |
| Short sleep duration among adults | 30.4% | 27.4–33.2 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.1% | 15.5–18.8 |
| Frequent mental distress among adults | 17.9% | 16.4–19.5 |
| Frequent physical distress among adults | 13.3% | 12.1–14.5 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 13.8% | 12.5–15.1 |
| Any disability among adults | 28.3% | 26.0–30.7 |
| Hearing disability among adults | 6.8% | 6.2–7.5 |
| Independent living disability among adults | 7.1% | 6.4–7.8 |
| Mobility disability among adults | 12.2% | 11.0–13.5 |
| Self-care disability among adults | 3.3% | 3.0–3.6 |
| Vision disability among adults | 4.2% | 3.8–4.6 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 7.7% | 10.6% (3.1–25.8%) n=32,364 | 9.6% (3.5–22.3%) n=583 |
| Uninsured 18–64 | 9.2% | 9.0% (1.5–24.3%) n=32,286 | 8.2% (1.8–22.7%) n=582 |
| No HS diploma (25+) | 6.6% | 7.9% (1.8–20.7%) n=32,505 | 7.0% (1.5–16.5%) n=588 |
| Bachelor's or higher (25+) | 35.1% | 23.3% (9.2–53.6%) n=32,505 | 27.4% (12.3–59.7%) n=588 |
| Unemployment rate (16+) | 8.3% | 3.9% (0.0–9.8%) n=32,274 | 4.5% (0.0–9.7%) n=584 |
| Households without a vehicle | 4.0% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.2%) n=580 |
| Broadband subscription | 92.9% | 89.3% (75.1–97.1%) n=32,322 | 92.7% (81.1–97.4%) n=580 |
| Housing cost burden (≥30% income) | 32.6% | 23.7% (10.6–40.0%) n=32,322 | 28.9% (14.6–40.6%) n=580 |
| Homeownership rate | 62.7% | 78.7% (51.7–94.0%) n=32,322 | 75.2% (48.2–91.7%) n=580 |
| Crowded housing (>1 per room) | 3.6% | 1.3% (0.0–6.3%) n=32,322 | 2.6% (0.0–7.9%) n=580 |
| Foreign-born population | 9.3% | 2.6% (0.0–18.6%) n=32,553 | 6.7% (0.3–27.6%) n=588 |
| Single-parent households | 47.7% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (40.5–76.0%) n=574 |
| Population 65+ | 20.3% | 19.4% (10.8–33.6%) n=32,553 | 18.9% (10.3–36.9%) n=588 |
| Median age | 40.0 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.0 yr (32.9–58.8) n=584 |
| Median household income | $85,369 | $72,070 ($46,039–$118,707) n=30,318 | $84,646 ($56,217–$132,145) n=547 |
| Median home value | $467,200 | $222,200 ($100,300–$579,820) n=30,049 | $452,750 ($241,540–$826,380) n=542 |
| Median gross rent | $1,677 | $1,021 ($677–$1,912) n=25,670 | $1,416 ($840–$2,197) n=476 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 79.2 yr ± 0.71 | 78.9 yr (74.7–82.8) n=31,308 | 80.2 yr (77.3–83.1) n=584 |
About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 0.71 years of 79.2, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾More ZIPs to explore ▴
How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured