The Native American Rehabilitation Assoc of the Northwest

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 NW is mission driven and spirit led, weaving traditional Native culture and spirituality throughout its family centered approach to recovery.

Addiction Treatment Programs at NARA NW

Clients may begin with medically supervised detoxification to safely manage withdrawal, then transition into residential or outpatient programs tailored to individual needs and recovery goals. NARA NW provides services for recovering persons of all ages, ensuring that families and community supports are part of the healing process.

Treatment integrates traditional Native practices such as sacred pipe, drum, sacred ceremonies and sacred fire circle alongside supportive counseling and dual diagnosis care for co-occurring mental health and substance use challenges. The organization's family centered philosophy emphasizes whole person wellness and long term community reintegration.

What to Know About NARA NW

• Location: Portland, Oregon, with multiple program sites throughout the Greater Portland area
• Levels of care: Detox, residential treatment, outpatient rehab and mental health services
• Who they serve: American Indians, Alaska Natives and all who seek care, including youth and the LGBTQ+ community
• Approach: Culturally grounded, spirit led care integrating traditional Native ceremonies and family involvement
• Payment options: Sliding fee scale based on income and family size, private insurance and self-pay; serves patients regardless of ability to pay
• Integrated care: Also offers primary care, dental, wellness and housing support as a Federally Qualified Health Center (FQHC)