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Outside In is a medical and youth service nonprofit organization in Portland, Oregon which provides primary care and "wraparound services" for low income and homeless clients. It also has several other programs such as needle exchange program for drug addicts, and eligibility restricted tattoo removal service. The needle exchange has been the cause of community objection as well as cancellation of insurance policy and donors declining to give. It has reported that in fiscal year 2015-2016, it has given out 988,399 needles which was 20,962 more needles than what was returned. Founded in 1968 to serve youth, the organization has since continued to revise its services to meet the needs of its clients. Its services as described in October 2014 include medical care, mobile medical vans, tattoo removal, housing, education, counseling, and job training.