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SEIU Local 49 is part of the Service Employees International Union, the fastest-growing union in North America, with 1.9 million members in the United States, Canada, and Puerto Rico.

Health Care members of SEIU Local 49 are also part of SEIU Healthcare, the largest union of health care workers in the country.

SEIU is a member of the Change to Win Federation, a coalition created in 2005 by seven unions and six million workers.

Oregon workers at Providence Health & Services have been organizing to form a union with SEIU Local 49 for several years. They have their own website about their campaign: Make Health Care Work.