Expert Insights
As a resident of Portland, I’ve seen the expansion of recovery services here over the years. There is an expanding peer support network, crisis support services, recovery community organizations, and even a recovery gym. But what we don’t have is enough coordinated care and care for people in extreme poverty. Funding from measure 110 has helped, but I believe until we tackle homelessness too we’ll keep failing to tackle rising drug-related deaths and other social problems. The governor plans to put houseless people in a huge encampment, but it will cost more to run (at $4,000 per tent excluding camp operational costs) than housing someone in a private apartment. I believe the city is making a huge mistake and should instead be funding affordable housing. As a social worker, I think until people have safety and their own space, all they can do is survive and using drugs is part of survival for some.
How We Rank Listings
Our Portland directory lists 68 substance use treatment programs operating across Multnomah County and the surrounding metro. Listings are compiled from public licensing records maintained by the Oregon Health Authority, federal SAMHSA program data, and direct facility submissions. We verify accreditation status with The Joint Commission, CARF, LegitScript, and NAATP where applicable.
Each facility profile reflects the levels of care, specialty programs, and payment options the provider reports. We do not accept payment for editorial placement, and we do not rank facilities by advertising spend. Programs that lose accreditation, fail state licensure, or no longer accept patients are removed from the directory.
- Active state licensure and current accreditation
- Verified levels of care and specialty programming
- Transparent payment and insurance information
- No outcome guarantees or unsupported recovery claims
Rehab in Portland: What to Know
Portland anchors a metro region of roughly 2.54 million residents across Multnomah, Washington, Clackamas, and Clark counties, with Multnomah County alone home to about 815,000 people. The city sits at the center of Oregon’s largest substance use treatment network, and our directory currently lists 68 facilities serving the Portland metro. For a broader view of programs across the state, see our full Oregon rehab directory.
Multnomah County administers the largest Local Mental Health Authority in Oregon, and the county’s Behavioral Health Division operates as the front door for publicly funded substance use treatment in the region. Major providers in the metro include Cascadia Health, Fora Health, CODA, Hooper Detoxification Stabilization Center, and the Portland VA Medical Center, alongside dozens of private and nonprofit programs. The Behavioral Health Resource Center in downtown Portland operates as a 24/7 drop-in space for adults with substance use or mental health needs, with no requirement to be sober or carry identification.
Fentanyl reshaped the local picture starting around 2020 and remains the defining substance use issue in the metro. Multnomah County recorded an estimated 322 fentanyl overdose deaths in 2023, and although preliminary 2024 data showed a 27% decline in fentanyl-linked overdose deaths, the drug still drives the majority of fatal overdoses in the county. Many of the providers in this directory now offer same-day or low-barrier addiction treatment options with an emphasis on medication for opioid use disorder.
The state’s behavioral health response shifted significantly in 2024 when Oregon recriminalized possession of small amounts of drugs under HB 4002 while simultaneously funding deflection and treatment programs through HB 5204. Portland-based programs have expanded capacity for low-barrier care, mobile outreach, and post-incarceration treatment in response, and the Multnomah County Deflection Program now connects eligible people facing drug possession charges to treatment instead of prosecution.
Geographic access varies across the metro. Most residential and detox capacity sits inside Portland itself, with intensive outpatient and standard outpatient options spread across Beaverton, Hillsboro, Gresham, and Vancouver, Washington. Public transit reaches most central programs via TriMet, and several providers serve people who are unhoused or living in encampments through mobile teams.
Cost of Rehab in Portland
Oregon ranks among the higher-cost states in the West for residential substance use treatment, and Portland’s cost of living typically pushes city-based programs to or above the state average. Specific city-level pricing varies widely by length of stay, level of care, and insurance status, so the figures below reflect state averages compiled from national addiction treatment cost data. Insurance, the Oregon Health Plan, sliding-scale fees, and scholarships meaningfully reduce out-of-pocket costs for most people — see how verifying your rehab benefits works before assuming you’ll pay sticker price.
City-specific cost data for Portland is not consistently reported. Given Portland’s higher cost of living relative to most of Oregon, residential and detox programs in the metro generally sit at or above these state averages. Outpatient programs and Oregon Health Plan-funded care often cost the patient far less, sometimes nothing at the point of service. Daily residential rates in Oregon average around $654, while standard outpatient daily rates average closer to $57.
How to Pay for Rehab in Portland
Of the 68 treatment facilities in our Portland directory, 61 accept self-payment, 55 accept private health insurance, and 42 accept the Oregon Health Plan (Medicaid). Most programs work with more than one payment source, and many will help verify benefits before admission. The breakdown below reflects how programs in the metro accept payment.
Medicare
Nineteen Portland-area programs accept Medicare. Coverage typically extends to medically necessary detox, outpatient counseling, intensive outpatient programs, partial hospitalization, and medication-assisted treatment. Inpatient rehabilitation may be covered under Part A when admitted to a participating hospital-based program, and outpatient services fall under Part B. People with both Medicare and the Oregon Health Plan (dual-eligible) often pay nothing out of pocket. For a deeper explanation of how Medicare covers addiction treatment, including the differences between Original Medicare and Medicare Advantage plans, see our payment guide.
Medicaid (Oregon Health Plan)
The Oregon Health Plan (OHP) is Oregon’s Medicaid program and is delivered locally through Coordinated Care Organizations. In the Portland metro, Health Share of Oregon and Trillium Community Health Plan are the primary CCOs, and Multnomah Behavioral Health Services manages SUD and mental health benefits for many Health Share members. OHP covers detox, residential treatment, outpatient counseling, peer support, and medication-assisted treatment for opioid and alcohol use disorders. Oregon’s 1115 SUD waiver also extends Medicaid coverage to residential facilities with more than 16 beds, which historically were excluded from federal funding.
Military Benefits
TRICARE is accepted at eight Portland-area programs, and the Portland VA Medical Center operates its own Substance Addiction Treatment Program (SATP) with outpatient, intensive outpatient, residential, and harm reduction services for enrolled veterans. The Veterans Recovery House offers a 6 to 9 month residential program at the Vancouver VA campus. See additional rehab resources for veterans and active-duty service members.
Insurance and Private Pay
Fifty-five Portland-area facilities accept private health insurance. Most major commercial carriers operating in Oregon cover substance use treatment to some degree under the Mental Health Parity and Addiction Equity Act. Pre-authorization is common for residential, detox, and extended inpatient stays. Self-pay remains available at 61 programs, often with discounts for paying up front or paying for the full program in advance.
Major in-state insurance carriers accepted by Portland-area programs:
- Moda Health
- Providence Health Plan
- Kaiser Permanente Northwest
- Regence BlueCross BlueShield of Oregon
- PacificSource
- Cigna
- Aetna
- UnitedHealthcare
- HealthNet
Other Low-Cost Options
Twenty-one Portland-area programs offer sliding-scale fees that adjust to household income, and 34 offer some form of financial assistance for people who do not qualify for OHP and cannot pay the full cost. Fifteen facilities offer financing arrangements that spread payment over time.
Free Treatment Programs
Three programs in the Portland metro report offering fully free treatment, generally through grant-funded slots, charitable care, or county contracts. Several additional programs offer no-cost services through the Multnomah Treatment Fund for people who are uninsured, underinsured, or facing barriers to OHP enrollment. Rehab scholarships through national nonprofits like 10,000 Beds and the SAFE Project can also reduce or eliminate cost at participating facilities.
Levels of Care Available in Portland
The Portland metro offers a full continuum of care: 32 detox programs, 29 inpatient rehabs, 5 partial hospitalization programs, 56 standard outpatient clinics, 44 co-occurring (dual diagnosis) programs, and 6 sober living homes. Coverage of intensive outpatient programming is rolled into the broader outpatient count rather than tracked separately in this directory.
Medical Detox
Detox is typically the first step for people with physical dependence on alcohol, benzodiazepines, or opioids. Programs provide 24-hour medical supervision and medications to manage withdrawal safely. Hooper Detoxification Stabilization Center, operated by Central City Concern, anchors public detox capacity in Portland, and several private programs serve insured patients. Learn more about medical detox and what to expect during withdrawal management.
Inpatient Rehab
Inpatient or residential treatment provides 24-hour structured care in a live-in setting, usually for 28 to 90 days. Programs combine individual therapy, group sessions, medical care, and relapse prevention planning. Portland’s residential capacity includes both abstinence-based and medication-supported tracks. See our overview of inpatient rehab for what residential programs typically include.
Partial Hospitalization Programs
PHPs deliver intensive treatment during the day while letting patients return home or to sober housing at night. Programs typically run 5 to 6 hours a day, 5 days a week, and are often used as a step down from residential care. Five Portland-area programs report offering PHP treatment.
Outpatient Treatment
Standard outpatient and intensive outpatient programs let people live at home while attending treatment several hours per week. This is the most common level of care in the metro and supports people who have completed higher levels, those with milder substance use disorders, and those balancing treatment with work or family obligations. See outpatient rehab and intensive outpatient programs for more on what to expect.
Co-Occurring Disorders
Forty-four Portland-area programs treat substance use alongside mental health conditions like co-occurring depression, anxiety, PTSD, and bipolar disorder. Integrated dual-diagnosis treatment is widely available in the metro, reflecting Multnomah County’s emphasis on behavioral health integration.
Medication-Assisted Treatment
Buprenorphine, methadone, and naltrexone are widely available across the metro for opioid use disorder, and naltrexone and acamprosate are used for alcohol use disorder. Several Portland providers offer same-day or low-barrier buprenorphine starts, including through emergency departments and mobile teams.
Sober Living
Six recovery residences are listed in the Portland directory. These provide drug- and alcohol-free housing for people transitioning out of structured treatment, often paired with outpatient programming, peer support, and house meetings. Sober living is one component of rehab aftercare alongside continuing therapy and mutual-support groups.
Specialty Programs in Portland
Portland programs offer a wide range of specialty tracks designed for specific populations and substance use patterns. The figures below reflect facilities that explicitly market or report a specialty program; many additional programs serve these populations without a formal specialty designation.
Several specialty tracks connect to dedicated resources on our site. Programs flagged as LGBTQ+ friendly typically train staff in affirming care and use inclusive intake processes; for more on what to look for, see our guide to LGBTQ+ affirming addiction care. Veterans and military families can access additional supports beyond facility-based treatment through rehab resources for veterans and military. Young adult programs often address co-occurring concerns common in this group, including young adult and college student substance use patterns. Alcohol-specific programming addresses alcohol use disorder, while opioid-specific programs combine counseling with medications for opioid use disorder.
Free and Low-Cost Rehab Resources in Portland
Portland and Multnomah County maintain one of the most developed public behavioral health safety nets on the West Coast. The resources below are organized by category and include phone numbers and links verified against county, state, and federal sources. For people in immediate crisis, call 988 or the Multnomah County Crisis Line at 503-988-4888; both are free and available 24/7. See our overview of suicide prevention resources and crisis support for additional national hotlines.
Crisis Lines
- 988 Suicide and Crisis Lifeline — Call or text 988. Free, confidential, 24/7. 988lifeline.org
- Multnomah County Behavioral Health Crisis Line — 503-988-4888. 24/7 crisis counseling, mobile crisis dispatch, and referrals to treatment. Also serves as the front door to publicly funded behavioral health services for Health Share of Oregon members.
- Oregon Alcohol & Drug Helpline (Lines for Life) — 1-800-923-4357. Statewide treatment referrals and support, 24/7.
- YouthLine — 1-877-968-8491 or text “teen2teen” to 839863. Peer support for people 21 and under, operated by Lines for Life.
- SAMHSA National Helpline — 1-800-662-HELP (4357). Free, confidential, 24/7 treatment referral in English and Spanish.
County Health Department
- Multnomah County Behavioral Health Division — 503-988-4055. 209 SW 4th Avenue, Suite 520, Portland. Administers publicly funded mental health and SUD services for the county. multco.us/programs/behavioral-health
- Multnomah County Behavioral Health Call Center — 503-988-4888. Intake line for uninsured residents and OHP members seeking treatment.
- Behavioral Health Resource Center — 503-988-4100. 333 SW Park Avenue, Portland. 24/7 drop-in day center and shelter for adults with mental health or addiction needs; no requirement to be sober or have ID.
- Multnomah Treatment Fund — Administered by the county to cover SUD treatment for people who are uninsured or underinsured. Referrals through the Behavioral Health Call Center.
Community and Nonprofit Programs
- Central City Concern — 503-294-1681. Operates Hooper Detoxification Stabilization Center, the Letty Owings Center for women with children, and outpatient programs across downtown Portland. centralcityconcern.org
- Cascadia Health — 503-674-7777 (intake). Mental health, addiction, and primary care at multiple Portland locations on a sliding fee scale. cascadiahealth.org
- Mental Health and Addiction Association of Oregon (MHAAO) — 503-922-2377. Peer-delivered services and recovery support. mhaoforegon.org
- Recovery Network of Oregon — Peer-led recovery community organization. oregonrecoverynetwork.org
- William Temple House — 503-226-3021. Sliding-scale counseling ($1 to $80) for low-income Portland residents.
Harm Reduction
- Multnomah County Harm Reduction Clinic — 503-988-0577. 12425 NE Glisan Street, Portland. Syringe exchange, naloxone distribution, fentanyl test strips, wound care, sexual health services, and treatment referrals.
- Outside In Injection Drug Users Health Services — 503-535-3800. 1219 SW Main Street, Portland. Syringe exchange, naloxone, HIV and hepatitis C testing, overdose prevention training. outsidein.org
- Portland People’s Outreach Project (PPOP) — 503-765-7767. All-volunteer, peer-run mobile harm reduction with need-based syringe distribution and naloxone. portlandpeoplesoutreach.org
- NEXT Distro / Project RED — Free naloxone by mail for Oregon residents. nextdistro.org/oregon
VA and Military
- Portland VA Medical Center — Substance Addiction Treatment Program (SATP) — 503-220-8262. 3710 SW US Veterans Hospital Road, Portland. Outpatient, IOP, and residential SUD care for enrolled veterans. va.gov/portland-health-care
- Veterans Recovery House (RRTP) — Located on the Vancouver VA campus. 6 to 9 month residential SUD program with peer support and co-occurring mental health care.
- Veterans Crisis Line — Dial 988 and press 1, or text 838255. Free, confidential, 24/7.
Government and Medicaid
- Oregon Health Plan (OHP) Application — 1-800-699-9075. oregon.gov/oha/ohp
- 211info Oregon — Dial 211 or text your zip code to 898211. Statewide information and referral for health, housing, and social services.
- Oregon Recovers — Statewide advocacy and resource navigation. oregonrecovers.org
Faith-Based and Community Support
- Salvation Army Greater Portland — 503-794-3209. Adult Rehabilitation Center providing free residential program for men. portland.salarmy.org
- Union Gospel Mission Portland — 503-274-4483. LIFE Change residential recovery program. ugmportland.org
- Portland Rescue Mission — The Harbor — 503-906-7693. Long-term residential recovery for men and women.
Drug and Alcohol Use Statistics in Portland
Substance use deaths in Multnomah County rose sharply between 2018 and 2023 as fentanyl spread through the local drug supply. The figures below combine confirmed and provisional county data; preliminary 2024 numbers suggest the fentanyl-driven peak has begun to decline, though deaths remain well above pre-2020 levels. The data reflects the scale of opioid use disorder in the metro and the ongoing impact of fentanyl on the local drug supply.
Most fentanyl overdose deaths in 2023 were concentrated in two downtown Portland neighborhoods: Old Town and the Pearl District. Overdose deaths in 2022 in Multnomah County surpassed the national average for the first time, reflecting how quickly fentanyl spread from East Coast supply chains into the Pacific Northwest. National and statewide context on substance use trends is available in our national substance use statistics overview.
Resources
- Multnomah County Health Department. (2024). Fentanyl Overdose Deaths in Multnomah County: 2018-2023. https://multco.us/news/multnomah-county-releases-fentanyl-overdose-mortality-report
- Multnomah County Health Department. (2024). Domicile Unknown 2023 Report: Deaths Among People Experiencing Homelessness. https://multco.us/health/news/domicile-unknown-report
- Oregon Public Broadcasting. (2025). At least 372 people died while experiencing homelessness in Multnomah County last year. https://www.opb.org/article/2025/12/19/homelessness-portland-oregon-mulnomah-county-deaths-housing/
- Oregon Health Authority. (2024). Substance Use Disorder 1115 Demonstration Waiver. https://www.oregon.gov/oha/hsd/medicaid-policy/pages/sud-waiver.aspx
- Multnomah County. (2026). Addiction Treatment Services. https://multco.us/services/addiction-treatment
- Multnomah County. (2026). Behavioral Health Resource Center. https://multco.us/info/behavioral-health-resource-center
- Multnomah County. (2026). Syringe Exchange Program. https://multco.us/services/syringe-exchange
- U.S. Department of Veterans Affairs. (2026). VA Portland Health Care System — Substance Addiction Treatment. https://www.va.gov/portland-health-care/locations/portland-va-medical-center/
- U.S. Census Bureau. (2025). Population Estimates: Portland-Vancouver-Hillsboro Metro Area, Vintage 2024. https://www.census.gov/quickfacts/portlandcityoregon
- Addictions.com. (2026). Alcohol & Drug Rehabs in Oregon. https://www.addictions.com/rehabs/oregon/
- Oregon Legislative Assembly. (2024). HB 4002 and HB 5204: Drug Possession and Behavioral Health Funding. https://www.oregonlegislature.gov/lpro/Publications/Behavioral%20Health%20and%20Health%20Care%20-%20Legislative%20Summary%20Report%202024.pdf
- NASEN. (2024). Multnomah County Health Department Harm Reduction Program Directory Listing. https://nasen.org/sep/multnomah-county-harm-reduction-clinic
