tl;dr
I don't have a problem with PP as an HRT provider, only with the difficulty of communication outside of appointments
last measurement of my levels were well within female range. I have no complaints overall with the actual medical treatment provided by PP or by the personal treatment. Very nice folks.
I get tested every 3 months. The endo is well aware of many aspects of HRT including the multiple testing levels of E and not just the totals. I know this because I asked questions.
My big issue is the limitation in communication. I can request things online and wait. Many pertinent questions are answered with "Make an appointment, ask the clinician"

If I call, they don't answer. You get a 10 minute greeting of options and then voicemail for callback. I don't think that it's too much to ask that when I return a call
at their request that I am actually able to speak to someone.
My labs are not released unless I ask them to .. every time. They have not shared them with my GP except for the first time that did it in person and made them do it. They use Quest for labs, the results do
not show up in my Quest profile. The tests from my GP do show up there.
No, I still don't have my current results thanks to a holiday weekend and no one answering phones or messages.
life ... maybe it's time to quit trying and just "work, home, sleep, repeat". What's the point of struggling if it doesn't get you anywhere? My current level of HRT is all I'll ever receive. All my dysphorias are as strong as ever with no way to reduce them ... I'm tired.