Unhoused individuals have unique barriers to accessing primary care resources. This impacts the health of the population and may have unnecessarily high associated emergency healthcare costs. Aurora Commons, a community space in North Seattle is committed to responding to the needs of this unhoused population. Our team aimed to describe patterns and barriers to primary healthcare resources for unhoused men in this community. Semi-structured and survey interviews were completed from June to July 2020 in North Seattle in self-identified adult men accessing services at Aurora Commons. Surveys were completed in English and included data on demographics, housing, health concerns, health access and barriers, risk factors, trauma history, adverse childhood events, social isolation, infection precautions, and access to telemedicine resources. Participants provided oral consent for surveys. 59 men (median age 43, range 25-69 years) were interviewed. 76% reported not seeing a PCP in the last six months. 61% utilized an emergency department and 28.8% of men reported multiple visits. 0/59 participants reported STI treatment in the previous 3 months despite over 25% reporting men in this community exchanging sex for money, food, drugs, or shelter. Common barriers to receiving healthcare were a lack of trust, prior poor treatment by healthcare staff, and transportation. 88% of men reported willingness to use telemedicine with 55.2% of men reporting having the access and knowledge to do so. Over 75% of men interviewed reported ability to maintain physical distancing during the COVID-19 pandemic. Unhoused men were found to be at high risk for emergency department visits, lack of coordinated primary care, and undertreatment of STIs and substance use. Future work should explore expansion of low-barrier primary care services with coordinated expansion of STI testing and treatment, and the creative use of telemedicine services to improve direct access to healthcare for this community.