I must say that in my line of work there is often a much greater stigma to being an M.D., which is attributed partly to certain patients dislike and distrust of the “medical establishment”. While Portland seems to have fewer D.O.'s than some places, all the ones I know are very popular and well respected. My wife works for Kaiser Permanente, and they actually have a “D.O. waiting list”, as all of their existing osteopathic physicians are closed to new patients, causing a wait while they recruit new ones. That doesn’t sound like much of a stigma to me!