ZIP code
99117
in Creston, WashingtonPopulation 556
50.72/ 100
Ranked #15,236 of 32,066 US ZIPs (top 48%)
Ranked #385 of 581 Washington ZIPs (bottom 34%)
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.
Civic-institution access
2.1 per 1,000 residents
in the top 1.0% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The number of civic and social organizations 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 ›Distance to a nursing home
25.9 mi
in the top 2.1% nationally
Lower is healthier
ST95thUS98thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Fine-particle (PM2.5) exceedance
2.7%
in the top 3.0% nationally
Lower is healthier
ST91stUS97thDefinition & source ›
The share of days in the year when modeled fine-particle (PM2.5) pollution was above the EPA’s daily limit of 35 micrograms per cubic meter.
Full methodology ›Housing-cost burden
3.0%
in the bottom 4.3% nationally
Lower is healthier
ST3rdUS4thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Nitrate in drinking water
2.2%
in the top 5.5% nationally
Lower is healthier
ST93rdUS95thDefinition & source ›
The modeled share of this area’s domestic-well groundwater at or above the federal nitrate limit of 10 milligrams per liter.
A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.
Full methodology ›Humid extreme heat
8.5 days/year
in the bottom 5.6% nationally
Lower is healthier
ST38thUS6thDefinition & source ›
The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.
Full methodology ›Crowded housing
8.5%
in the top 6.1% nationally
Lower is healthier
ST92ndUS94thDefinition & source ›
The share of occupied homes with more than one person per room, the Census definition of crowded housing.
Full methodology ›Home broadband subscription
71.4%
in the bottom 6.9% nationally
Higher is healthier
ST3rdUS7thDefinition & source ›
The share of households with a broadband internet subscription.
Full methodology ›Short sleep
30%
in the bottom 9.7% nationally
Lower is healthier
ST30thUS10thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Distance to a community health center
16.5 mi
in the top 10.8% nationally
Lower is healthier
ST92ndUS89thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest federally funded community health center, which serves patients regardless of ability to pay.
Full methodology ›The read
On the composite measure, Creston, Washington (ZIP 99117) stands in the top 48% healthiest ZIPs nationally (15,236th) and the bottom 34% of Washington (385th), based on limited data; treat as directional.
A profile of give and take, with clear readings each way: civic stands in the top 1.0% nationally, and housing-cost burden sits in the bottom 4.3% nationally. Modeled humid heat resides in the bottom 5.6% nationally, and short sleep stands in the bottom 9.7% nationally. On the other side, distance to a nursing home sits in the top 2.1% nationally, modeled fine-particle resides in the top 3.0% nationally, and modeled nitrate stands in the top 5.5% nationally. Crowded housing sits in the top 6.1% nationally, home broadband subscription resides in the bottom 6.9% nationally, and distance to a community health center stands in the top 10.8% nationally.
Set beside the wider area around it, civic runs far higher than the surrounding ZIPs on this measure. For clarity, fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Nitrate is a groundwater compound from fertilizer, manure, and sewage, here a modeled estimate of the chance private-well levels exceed a benchmark. Humid heat is a modeled heat-stress measure combining temperature, humidity, sun, and wind to gauge heat on the body outdoors. ZIP 99122, just across the boundary, ranks better overall among the ZIPs nearby.
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.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Social Need / SDOH
healthier than 62%
16%
Risk Behavior
healthier than 88%
11%
Mental Health
healthier than 65%
8%
Climate / Disaster RiskPartial
healthier than 97%
5%
About typical
Preventive Care
healthier than 56%
13%
Disability
healthier than 42%
7%
Holding it back
Chronic Disease Burden
healthier than 26%
21%
Environmental Hazard
healthier than 23%
14%
Healthcare Access
healthier than 4%
5%
Lifting this score
Preventive Care
healthier than 82%
13%
Risk Behavior
healthier than 61%
11%
Mental Health
healthier than 85%
8%
Climate / Disaster RiskPartial
healthier than 83%
5%
Holding it back
Chronic Disease Burden
healthier than 9%
21%
Social Need / SDOH
healthier than 22%
16%
Environmental Hazard
healthier than 25%
14%
Disability
healthier than 20%
7%
Healthcare Access
healthier than 4%
5%
“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 ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
99122
Washingtonshares a border
Score 51.47
Closest healthier
99159
Washingtonshares a border
Score 52.02
Similar health profile
99152
Washington97% similar profile
Score 52.35
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 | 35.5% | 32.2–38.9 |
| High blood pressure among adults | 39.1% | 35.4–42.8 |
| Cancer (non-skin) or melanoma among adults | 12.2% | 11.0–13.4 |
| Current asthma among adults | 11.3% | 10.0–12.5 |
| Coronary heart disease among adults | 8.8% | 7.8–9.9 |
| Chronic obstructive pulmonary disease among adults | 8.1% | 6.9–9.4 |
| Depression among adults | 22.6% | 19.5–25.7 |
| Diagnosed diabetes among adults | 12.9% | 11.2–14.7 |
| High cholesterol among adults who have ever been screened | 41.1% | 37.2–45.0 |
| Obesity among adults | 38.3% | 32.5–44.1 |
| Stroke among adults | 4.5% | 4.0–5.0 |
| All teeth lost among adults aged >=65 years | 12.6% | 10.3–15.0 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.4% | 6.1–9.0 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 77.8% | 74.7–80.6 |
| Visits to doctor for routine checkup within the past year among adults | 76.2% | 72.7–79.3 |
| Cholesterol screening among adults | 86.9% | 85.2–88.5 |
| Colorectal cancer screening among adults aged 45–75 years | 71.0% | 66.6–75.1 |
| Visited dentist or dental clinic in the past year among adults | 67.7% | 64.6–70.7 |
| Mammography use among women aged 50-74 years | 72.0% | 65.1–78.1 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 15.4% | 12.8–18.1 |
| Current cigarette smoking among adults | 12.2% | 10.1–14.5 |
| No leisure-time physical activity among adults | 21.4% | 18.0–25.3 |
| Short sleep duration among adults | 30.0% | 25.5–34.8 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 19.6% | 16.8–22.7 |
| Frequent mental distress among adults | 15.5% | 13.7–17.3 |
| Frequent physical distress among adults | 15.4% | 13.5–17.5 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.2% | 12.4–16.1 |
| Any disability among adults | 35.1% | 31.0–39.5 |
| Hearing disability among adults | 9.9% | 8.8–11.2 |
| Independent living disability among adults | 8.3% | 7.3–9.5 |
| Mobility disability among adults | 16.7% | 14.4–19.4 |
| Self-care disability among adults | 4.2% | 3.7–4.8 |
| Vision disability among adults | 5.0% | 4.4–5.7 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 4.0% | 10.6% (3.1–25.8%) n=32,364 | 9.6% (3.5–22.3%) n=583 |
| Uninsured 18–64 | 9.4% | 9.0% (1.5–24.3%) n=32,286 | 8.2% (1.8–22.7%) n=582 |
| No HS diploma (25+) | 7.5% | 7.9% (1.8–20.7%) n=32,505 | 7.0% (1.5–16.5%) n=588 |
| Bachelor's or higher (25+) | 23.9% | 23.3% (9.2–53.6%) n=32,505 | 27.4% (12.3–59.7%) n=588 |
| Unemployment rate (16+) | 4.2% | 3.9% (0.0–9.8%) n=32,274 | 4.5% (0.0–9.7%) n=584 |
| Households without a vehicle | 1.3% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.2%) n=580 |
| Broadband subscription | 71.4% | 89.3% (75.1–97.1%) n=32,322 | 92.7% (81.1–97.4%) n=580 |
| Housing cost burden (≥30% income) | 3.0% | 23.7% (10.6–40.0%) n=32,322 | 28.9% (14.6–40.6%) n=580 |
| Homeownership rate | 85.0% | 78.7% (51.7–94.0%) n=32,322 | 75.2% (48.2–91.7%) n=580 |
| Crowded housing (>1 per room) | 8.5% | 1.3% (0.0–6.3%) n=32,322 | 2.6% (0.0–7.9%) n=580 |
| Foreign-born population | 0.5% | 2.6% (0.0–18.6%) n=32,553 | 6.7% (0.3–27.6%) n=588 |
| Single-parent households | 61.2% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (40.5–76.0%) n=574 |
| Population 65+ | 27.9% | 19.4% (10.8–33.6%) n=32,553 | 18.9% (10.3–36.9%) n=588 |
| Median age | 44.5 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.0 yr (32.9–58.8) n=584 |
| Median household income | $63,750 | $72,070 ($46,039–$118,707) n=30,318 | $84,646 ($56,217–$132,145) n=547 |
| Median home value | $265,700 | $222,200 ($100,300–$579,820) n=30,049 | $452,750 ($241,540–$826,380) n=542 |
| Median gross rent | $580 | $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 | 82.5 yr ± 1.89 | 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 1.89 years of 82.5, 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