Drug & alcohol rehab centers in Portland, OR

Compare 68 addiction treatment centers in and around Portland, reviewed against accreditation and licensing standards. Filter by level of care, insurance accepted, and specialty programs to narrow down drug and alcohol rehab options in Oregon for yourself or someone you love.

57 outpatient programs
30 inpatient rehabs
32 detox clinics

Medically reviewed by Sendra Yang, PharmD, MBA, Medical Information Professional Written by Olivia Pennelle

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68 addiction treatment centers in Portland, OR

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Thumbnail	Name	Address	Treatment	Insurance	About
	Crestview Recovery	6025 Southeast Belmont Street, Portland, OR 97215	Detox Inpatient Outpatient	Private insurance	Crestview Recovery is a drug treatment center in Portland, Oregon. They offer targeted programs for men, women, young adults and seniors that address substance use disorder (SUD) and co-occurring mental health disorders. The facility has both inpatient and outpatient programs. Inclusive Addiction and Mental Health Treatment One of the great things about treatment here is the targeted and inclusive programs.…
	NARA Residential Treatment Center	17645 Northwest Saint Helens Highway, Portland, OR 97231	Inpatient Outpatient	Medicaid Private insurance	The NARA Residential Treatment Center (Native American Rehabilitation Association of the Northwest, Inc.) is a federally qualified health center that is American Indian owned and operated. They provide person focused and family centered care to Native Americans and other adults struggling with drug or alcohol abuse disorders. You’ll work toward recovery with a supportive team guiding you through all stages…
	New Season Portland Metro Treatment Center	16420 Southeast Division Street, Portland, OR 97236	Detox Outpatient	Medicaid Private insurance	Outpatient treatment for opioid use disorder is offered at New Season Treatment Center, an addiction treatment center in Portland, Oregon. The center admits adults 18 and older. Pregnant and postpartum clients have a track of their own, and veterans and young adults have tracks too. Are walk ins accepted in Portland? Walk-in admissions run during business hours, and you don't…
Overwhelmed by the list? That’s normal. Speak with someone about your situation and discover options that fit your needs, usually in one call. No obligation. Get Help Now · 503-388-6477
	Tree House Recovery PDX	4713 North Albina Avenue, UNIT 301, Portland, OR 97217	Inpatient Outpatient Men	Private insurance	In Portland, Oregon, Tree House Recovery is an addiction treatment center with therapy centers, living spaces, and treatment facilities in the city. Treatment and a place to live are both in Portland, so you don’t have to leave the city for either one. They admit men, and intensive outpatient care there includes guided exercise, yoga, and med
	SLO Recovery Center	1122 NE 122nd Ave Suite A-200, Portland, OR 97230	Detox Inpatient Outpatient	Private insurance	SLO Recovery Center is an outpatient addiction and mental health treatment provider in Portland, Oregon, offering a flexible continuum of care for adults navigating substance use disorders and co-occurring mental health challenges. The program provides ambulatory detox, partial hospitalization, intensive outpatient and traditional outpatient services, with both in person and telehealth options available. SLO Recovery Center emphasizes a whole person,…
	Belmont Comprehensive Treatment Center	2600 Southeast Belmont Street, Portland, OR 97214	Detox Outpatient	Medicaid Private insurance	Belmont Comprehensive Treatment Center (CTC) provides substance use services for adults 18 and older in Portland, Oregon. Their goal is to help you break the addiction cycle with treatment that gives you a strong foundation for recovery. Opioid Withdrawal Services CTC provides medication-assisted treatment (MAT) for clients struggling with opioid addiction. MAT uses FDA-approved medicines to lessen withdrawal symptoms and…
	Recovery Blvd Treatment Center	1206 Southeast 11th Avenue, Portland, OR 97214	Detox Inpatient Outpatient	Private insurance	Located in the heart of Heartland, Oregon, is Recovery Boulevard Treatment Center. This is a drug recovery facility that specializes in helping young adults who are working through a substance abuse disorder. They also offer DUI programming, intervention services, and specialized care for members of the LGBTQ community. Recovery Track for Working Professionals There is a recovery track for professionals…
	Another Chance Drug & Alcohol Rehab Center of Portland	12670 NW Barnes Rd Suite 200, Portland, OR 97229	Detox Inpatient Outpatient	Private insurance	Another Chance Drug and Alcohol Rehab Center treats individuals with substance abuse disorder in Portland, Oregon. They offer supportive housing, professional substance use assessments, and various outpatient programs. Housing Support For Continued Sobriety The organization offers transitional living facilities where you can continue working on recovery with structure and protocol while building a community of support and independence. You’ll follow…
	Lasko Refuge Harmony House	14505 SE Morrison St, Portland, OR 97233	Detox Inpatient Outpatient	Private insurance	The Lasko Refuge’s Harmony House in Portland, Oregon, is a unique sober living facility that feels more like a home instead of a clinic. The house operates with a flexible approach so residents can take control of their own recovery while being surrounded by peers with similar struggles. Participation in their 12 Step program is encouraged but not forced, giving…
	The Native American Rehabilitation Assoc of the Northwest	1776 SW Madison St, Portland, OR 97205	Detox Outpatient		The Native American Rehabilitation Association of the Northwest (NARA NW) is a culturally grounded addiction treatment and mental health center in Portland, Oregon, serving American Indians, Alaska Natives, and all who seek care. Located on Madison Street, this American Indian-owned nonprofit offers a full continuum, including detoxification, residential treatment, outpatient services and integrated mental health programs. Founded in 1970, NARA…
	East Portland Comprehensive Treatment Center	6601 Northeast 78th Court Suite A-3, Portland, OR 97218	Detox Outpatient	Medicaid Private insurance	East Portland Comprehensive Treatment Center in Portland, Oregon, is an outpatient addiction treatment program specializing in opioid use disorder for adults aged 18 years and older. Located at 6601 Northeast 78th Court, the center offers medication assisted treatment (MAT) combined with individual and group counseling to support lasting recovery from heroin and prescription painkiller dependence. With same day admission, 24/7…
	Downtown Portland Comprehensive Treatment Center	324 Northwest Davis Street, Portland, OR 97209	Detox Outpatient	Medicaid Private insurance	Downtown Portland Comprehensive Treatment Center provides opioid use disorder recovery for adults 18 and older in Portland, Oregon. The center combines FDA-approved medications with counseling to support long-term recovery from heroin, prescription painkillers and other opioid addiction. Treatment focuses on more than medication alone, offering support to build lasting recovery skills and help clients reclaim their lives. Medication-Assisted Treatment The…
	Bridges to Change Multnomah County	7916 Southeast Foster Road Suite 201, Portland, OR 97206	Outpatient	Medicaid	Bridges to Change Multnomah County is a peer led substance use treatment provider in Portland, Oregon offering outpatient and intensive outpatient programs at their Southeast Foster Road location. The organization combines behavioral health treatment with supportive housing, peer mentoring and practical recovery support, all grounded in lived experience and harm reduction principles. Clients benefit from rapid access to care, compassionate…
	Cedar Hills Hospital	10300 Southwest Eastridge Street, Portland, OR 97225	Detox Inpatient	Private insurance	Cedar Hills Hospital is a behavioral health hospital in Portland, Oregon, providing inpatient and outpatient treatment for adults facing mental health challenges, substance use disorders and co-occurring conditions. The 98-bed facility offers crisis stabilization, detox, residential care and outpatient programs including PHP and IOP tracks at their Branches Portland location. Clients appreciate the structured, physician led approach and the availability…
	Cedar Hills Outpatient Campus	1815 Southwest Marlow Avenue Suite 218, Portland, OR 97225	Outpatient	Private insurance	Cedar Hills Outpatient Campus, also known as Branches Portland, is an outpatient treatment program in Portland, Oregon, serving adults with mental health and substance use concerns, including co-occurring disorders. The program offers partial hospitalization program and Intensive Outpatient Program levels of care, with specialized tracks for mental health, women, DBT skills and wellness and recovery. Clients value the flexible scheduling…
	CODA Tigard Outpatient	11970 Southwest Greenburg Road, Portland, OR 97223	Outpatient	Medicaid Private insurance	CODA Tigard Outpatient is a community based substance use disorder treatment program located in Tigard, Oregon and operated by CODA, Inc, one of the state's largest nonprofit addiction care providers. The program offers individual and group counseling, medication assisted treatment for opioid and alcohol use disorders, case management and relapse prevention services for adults 18 and older. CODA delivers science…
	CODA Treatment Recovery	1027 East Burnside Street, Portland, OR 97214	Detox Outpatient	Medicaid Private insurance	CODA Treatment Recovery is a nonprofit addiction treatment provider in Portland, Oregon offering outpatient care, opioid treatment programs, residential services and supported housing across multiple locations. CODA is Oregon's oldest opioid addiction treatment program and provides medication assisted treatment, counseling, case management and peer support to help people build lasting recovery. Clients value the team's experience and the range of…
	Fora Health	10230 SE Cherry Blossom Drive, Portland, OR 97216	Detox Inpatient Outpatient	Medicaid Private insurance	Fora Health is a nonprofit addiction treatment provider in Portland, Oregon, offering comprehensive care for substance use disorders and co occurring mental health conditions. The organization delivers a full continuum of services, including medically supervised withdrawal management, residential treatment, outpatient programs and medication assisted treatment. Fora Health is committed to trauma informed, evidence based care with a strong focus on…
	Hooper Detoxification Stabilization Center	1535 North Williams Avenue, Portland, OR 97227	Detox Inpatient Outpatient	Medicaid Private insurance	Hooper Detoxification Stabilization Center is a withdrawal management and addiction treatment provider in Portland, Oregon, operated by Central City Concern. The program offers both 24 hour inpatient stabilization and outpatient services, with medication supported recovery, nursing care and step-down planning to longer-term treatment and housing supports. Many staff members are in recovery themselves, creating a peer informed environment during early…
	LifeWorks Sylvan	5415 Southwest Westgate Drive, Portland, OR 97221	Outpatient	Medicaid Private insurance	LifeWorks In Northwest Portland, Oregon is a drug rehab treatment and primary care facility. They work with adolescents and adults who are experiencing mental health or addiction struggles. They also offer services to families who have been impacted by addiction or mental health. You'll find compassionate care that is rooted in evidence based practices. This includes holistic care approaches and…
	Lutheran Community Services Northwest Portland	605 Southeast Cesar Estrada Chavez Boulevard, Portland, OR 97214	Outpatient	Medicaid Private insurance	Lutheran Community Services Northwest offers outpatient addiction treatment at its Portland, Oregon, office on Southeast Cesar Estrada Chavez Boulevard. The team provides intensive outpatient and standard outpatient programs designed for adults and young adults facing substance use challenges, including those with co occurring mental health concerns. As part of a larger nonprofit network, the center brings a community rooted, inclusive…
	Providence Behavioral Health Southwest Portland Area	9450 Southwest Barnes Road Suite 200, Portland, OR 97225	Detox Outpatient	Medicaid Private insurance	Providence Behavioral Health Southwest Portland Area is an outpatient addiction treatment and behavioral health center in Portland, Oregon affiliated with Providence St. Vincent Medical Center. The program serves adolescents and adults seeking treatment for substance use disorders, cooccurring mental health conditions and depression or anxiety. Rooted in Providence's compassionate faith based mission, the clinic offers evidence based therapy and medication assisted…
	Serenity Lane Intensive Outpatient Treatment Center	10920 Southwest Barbur Boulevard, Portland, OR 97219	Outpatient	Medicaid Private insurance	Serenity Lane provides intensive outpatient treatment for substance addiction in Portland, Oregon. Their outpatient services offer flexibility for those who work or have family commitments and need convenient treatment options. Guests attend individual counseling where they work on past thoughts and behaviors that might get in the way of their sobriety. They also have medication assisted treatment and group therapy…
	Volunteers of America of Oregon Mens Residential	2318 Northeast Martin Luther King Junior Boulevard, Portland, OR 97212	Inpatient Outpatient Men	Private insurance	Volunteers of America of Oregon Men's Residential is a structured residential treatment center in Portland, Oregon, providing 24/7 care for men addressing substance use disorders and co-occurring mental health challenges. The program primarily serves men referred through the Multnomah County criminal justice system, offering a comprehensive six-month residential phase paired with continuing care and community reintegration support. With a focus…
	Portland VA Medical Center	3710 Southwest US Veterans Hospital Road, Portland, OR 97239	Detox Outpatient	Private insurance	Portland VA Medical Center in Portland, Oregon is a federal Veterans Affairs medical center offering comprehensive substance use treatment for Veterans through its Substance Addiction Treatment Program and residential services. The SATP provides residential and outpatient care focused on Veteran-to-Veteran recovery. What substance use treatment programs are available? Portland VA offers multiple levels of care through SATP including residential, intensive…

Rehab centers in cities near Portland

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Olivia Pennelle

Counselor, Expert Author, Podcaster

Full bio

Expert insight

“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.”

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.

Frequently asked questions

What to know about rehab in Portland

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, with 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.

68 treatment programs across the Portland metro

Hooper Detoxification Stabilization Center operates the region's largest publicly accessible detox

Medication for opioid use disorder is widely available, including same-day buprenorphine starts

Multnomah County Behavioral Health Call Center: 503-988-4888 (24/7)

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 the remainder 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.

Level of care: detox and residential cost substantially more than outpatient rehab

Length of stay: 30, 60, and 90-day programs scale roughly linearly

Staffing model: medical detox and dual-diagnosis programs run higher than non-medical care

Amenities: luxury and executive programs add significant cost; most Portland facilities are standard clinical settings

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 include:

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 costs at participating facilities.

Levels of Care Available in Portland

The Portland metro offers a full continuum of care that includes 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 Portland's public detox capacity, 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. To find out more about 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. https://multco.us/services/behavioral-health-crisis-services
Oregon Alcohol & Drug Helpline (Lines for Life) — 1-800-923-4357. Statewide treatment referrals and support, 24/7. https://www.linesforlife.org/services-and-crisis-lines/alcohol-and-drug-helpline/
YouthLine — 1-877-968-8491 or text "teen2teen" to 839863. Peer support for people 21 and under, operated by Lines for Life. https://www.theyouthline.org/
SAMHSA National Helpline — 1-800-662-HELP (4357). Free, confidential, 24/7 treatment referral in English and Spanish. https://www.samhsa.gov/find-help/helplines/national-helpline

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. https://multco.us/services/behavioral-health-crisis-services
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. https://www.oregon.gov/oha/hsd/amh/pages/index.aspx
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. https://multco.us/info/multnomah-treatment-fund

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. https://www.williamtemple.org/

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. https://multco.us/services/syringe-exchange
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. https://www.va.gov/portland-health-care/programs/veterans-recovery-house-residential-rehabilitation-treatment-program-rrtp/
Veterans Crisis Line — Dial 988 and press 1, or text 838255. Free, confidential, 24/7. https://www.veteranscrisisline.net/

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. https://www.211info.org/
Oregon Recovers — Statewide advocacy and resource navigation. oregonrecovers.org

Faith-Based and Community Support

Salvation Army Greater Portland — 503-794-3209. Adult Rehabilitation Center provides a 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. https://portlandrescuemission.org/what-we-do/our-solution/recover/mens-ministry

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.

Medical reviewer

Sendra Yang, PharmD, MBA

Sendra Yang received her Doctor of Pharmacy and Master of Business Administration degrees from Wingate University School of Pharmacy. She has experience in the pharmaceutical industry, pharmacy education, and clinical practice. She has also been a medical writer, editor, and…

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Author

Olivia Pennelle

Located in Portland, OR, Olivia Pennelle (Liv) is an author, journalist & content strategist. She's the founder of Liv’s Recovery Kitchen, a popular site dedicated to providing the ingredients for a fulfilling life in recovery. Liv also co-founded the podcast…

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Drug & alcohol rehab centers in Portland, OR

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68 addiction treatment centers in Portland, OR

Rehab centers in cities near Portland

What to know about rehab in Portland

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