Two different numbers: gain versus total change
Get this straight before race day, because it matters for your pacing math. The race lists 20,000-plus feet of elevation GAIN, the total climbing over the 100 miles. Separately, it also cites 40,000-plus feet of total elevation CHANGE, meaning every climb and every descent added together. Those are two different measurements, not two ways of saying the same thing, and mixing them up will wreck your finish-time estimate either way you get it wrong.
What that means on the ground is a course with multiple individual climbs in the 900 to 1,200 foot range, one after another, none of them flat or smooth. The Gorge terrain does not give you a real break between them.