Mother Tree International is the longest-standing doula training organization in Oregon, with over 25 years of continuous operation and more doulas trained than all other Oregon programs combined. Founded by Jesse Remer, a founding member of the Oregon Doula Association and former Policy & Advisory Chair and Education Chair, Mother Tree has played a central role in shaping Oregon’s doula workforce, professional standards, and systems integration. Mother Tree was integral in developing integrated hospital doula models at Providence and OHSU. Its sister organization, Gateway Doula Group, operates an open-hub doula membership model that bills Medicaid and private insurance and pays doulas upon submission for clean claims — eliminating long payment delays and stabilizing the doula workforce. Together, Mother Tree and Gateway form a nationally recognized ecosystem for training, credentialing, workforce development, hospital integration, and equitable access to doula care.