This design-build project helped Columbia Pain & Spine Institute significantly upgrade its medical services while meeting all Oregon Health Authority requirements. The institute now offers an operating room, procedure room, and four pre-op and post-op beds. It also provides 12 exam rooms and a fully functioning laboratory, as well as offices, a day-lighted conference room, and a staff lounge. In addition, the build-out includes a noise reduction system and custom-built lockers, casework, and shelving.