Mad Fish Digital

Portland, Oregon, United States

Portland B Corp agency providing SEO, paid media and content for urgent care, primary care, fertility and health system clients, among others.

Healthcare is one of several verticals4.5 based on 16 Google reviews4.9 on Clutch (10)Based on client reviews, they are friendly, communicative and collaborative.

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The agency’s homepage

Key Facts

Headquarters	Portland, Oregon, United States
Healthcare focus	Healthcare is one of several verticals
Best for	Urgent care and primary care groups wanting SEO-led growth
Published pricing	Custom proposal
Platform partnerships	Google Partner; Certified B Corporation
Awards	Search Engine Land Awards, Best Overall PPC Initiative, Enterprise (2023)

Highlights

Their top healthcare clients include ZoomCare, Kaiser Permanente, Legacy Health, Pinnacle Fertility and ORM Fertility
1,664% increase in web traffic for Northwest Primary Care
Won a 2023 Search Engine Land Award for an enterprise PPC initiative

Independent review record

Client Reputation Chart

Recorded Oct 31, 2026

Composite rating4.7/5Excellent

Client reviews26counted across all sites

Review sites2independent sources

Based on client reviews, they are friendly, communicative and collaborative.

Ratings for Mad Fish Digital on public review sites
Source	Rating	Range 1 to 5	Reviews
Google	4.5/5		16
Clutch	4.9/5		10

What Clients Praise

Clients describe a communicative team that answers emails promptly and keeps projects moving on schedule.
Reviewers credit the agency with higher traffic, better search rankings, and strong paid campaign returns.
A healthcare system client praised the site design and noted steady monthly traffic growth after launch.

What Clients Flag

Several clients disliked frequent account manager changes and rough handoffs that disrupted service continuity.
Some reviewers felt comparable agencies could deliver similar services at the same or lower cost.

Ratings as shown on each review site on Oct 31, 2026. The composite is weighted by review count.

A Portland B Corp With an Urgent Care SEO Practice

Mad Fish Digital is a digital marketing agency on SW Oak Street in Portland, Oregon. It is a Certified B Corporation and a Google Partner, with a code of ethics and a pro bono program. It works across several industries, and healthcare is one of its main areas, with a dedicated urgent care and emergency care SEO practice.

Booking Flow Fixes and Local SEO for Walk-In Clinics

For urgent care and emergency clinics:

SEO strategy and keyword research
Local, on-page, off-page and technical SEO
Content marketing
Analytics and monitoring
Online booking flow optimization

The broader menu adds paid media, social media marketing, design and digital public relations.

ZoomCare, Kaiser Permanente and a 1,664% Traffic Jump

Some of their top healthcare clients are ZoomCare, Kaiser Permanente, Legacy Health, One Peak Medical, Northwest Primary Care, Pinnacle Fertility and ORM Fertility. The mix spans walk-in care, primary care, fertility and large health systems.

Northwest Primary Care saw a 1,664% increase in web traffic. Mad Fish also won a 2023 Search Engine Land Award in the enterprise PPC initiative category.

Flat Fee or Percent of Spend for Multi-Site Networks

Pricing is by proposal.

Strengths and Considerations

Strengths

Healthcare clients across urgent care, primary care, fertility and health systems
Technical, local and on-page SEO depth
Certified B Corp and Google Partner with a code of ethics and pro bono program

Considerations

Serves many non-healthcare industries

Specialties and Services

Healthcare specialties served

Hospitals and Health Systems Medical Practices Urgent Care Fertility

Marketing services offered

SEO PPC Social Media Web Design Content Marketing

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