2025’s Top Rehab Centers in Portland, 5 (Free) Drug & Alcohol Support Resources

Portland, Oregon

How to Choose Treatment in Portland

If you’re looking for the best help for you in Portland, you have options. You can find same-day detox, medications for addiction treatment, residential, and outpatient care. Residential beds — especially youth-specific — and co-occurring programs can have long waits, and detox spots can be tight. Call to check openings and ask for bridge care if there’s a waitlist. If you’re on the Oregon Health Plan (OHP), coordinated care connects members to treatment, and most private insurance plans are accepted. If you don’t have insurance, there are free or very low-cost programs available. For highly specialized or luxury residential programs, you may need to look beyond Portland, but most people can get the care they need close to home.

Can I start detox in Portland today?

Yes — help can start today. Call the programs below to ask about space and next steps. If a program is full, ask for bridge care like take-home medications or a same-day outpatient visit so you can get support right away. 

• Unity Center for Behavioral Health: 503-944-8000

• Hooper Detox Stabilization Center: 503-238-2067

• Fora Health: 503-535-1151

• Recovery Works NW: 503-906-9995

When you call, ask about language-specific support and transportation needs as most places can arrange interpretation and you can reach them by using Tri-County Metropolitan Transportation District of Oregon (TriMet).

Do I need to travel for rehab, or is care available in Portland?

You usually don’t need to travel. Portland offers detox, residential, outpatient, medications for addiction treatment (MAT), telehealth, and recovery housing. Teens may need to look beyond the city for dedicated programs as they are more limited in Portland. Some people also choose to travel for privacy or certain amenities, but unless you’re seeking a very specific specialty or luxury setting, Portland can meet most of your treatment needs. 

Paying for Addiction Treatment in Portland

How much does rehab cost in Portland?

Rehab prices can look overwhelming, but most people pay far less once insurance or financial aid is applied. Before you start treatment, ask for a written estimate, whether the program is in-network for your plan (and if prior authorization is required), and ask about sliding-scale fees or financial help. Learn more about the cost of rehab. 

Typical Costs (publicly funded or community-based programs; not luxury):

• A little over three months of residential care in Portland usually costs about $24,155 if you pay out of pocket. With insurance that covers 80%, you’d pay closer to $4,831 total — or about $1,486 per month.

• A three-month intensive outpatient program in Portland usually costs about $10,456 if you pay out of pocket. With insurance that covers 80%, you’d pay closer to $2,091 total — or about $697 per month.

• A four-to-five-month non-methadone outpatient program in Portland usually costs about $5,935 if you pay out of pocket. With insurance that covers 80%, you’d pay closer to $1,187 total — or about $264 per month.

• About two years of methadone maintenance in Portland usually costs about $21,308 if you pay out of pocket. With insurance that covers 80%, you’d pay closer to $4,262 total — or about $196 per month.

Which private insurers provide in-network coverage in Portland?

Most Portland rehabs work with major plans such as Regence Blue Cross Blue Shield, Providence, Kaiser Permanente, Moda Health, PacificSource, UnitedHealthcare, Aetna, and Cigna. Always confirm network status, prior authorization, and copays with your plan and the facility.

Are there free or low-cost rehab options in Portland?

Yes — you can find free or low-cost programs in Portland. If you don’t have insurance, you can still get care through government-funded providers and nonprofit organizations. Start by calling Multnomah County’s Behavioral Health Call Center at 503-988-4888 for an assessment and referrals. You can also use the Free, Sliding Scale Fee, and Payment Assistance filter options on this directory to find no-cost and low-cost options. If you do have insurance, your plan may cover some or even the full cost of treatment — you’ll need to call the facility to confirm.

• The Oregon Alcohol & Drug Helpline (Lines for Life): Provides guidance and referrals when you call 1-800-923-4357.

• Oregon Health Plan (OHP) - Oregon’s Medicaid Program): OHP provides care information and support.

• State-funded services (Measure 110 and Substance Abuse Block Grant - SABG): Oregon uses Measure 110 funds and federal block-grant dollars to support no- or low-cost detox, residential, and outpatient care for OHP members and people who do not have insurance.

• Nonprofits: Central City Concern, Volunteers of America Oregon, CODA, Native American Rehabilitation Association of the Northwest (NARA NW), Cascadia Health, and others offer sliding-scale or publicly funded services.

Keep in mind there are many free non-clinical peer support and counseling resources available as well.

Best Rehabs in Portland

What does “best” mean?

“Best” means best-for-you — care that matches your level of need, works with your insurance and budget, and fits your life (location, schedule, family). Start by listing what you need and what your plan covers, then choose an option you can start now and stick with. The programs below are examples of options that may be a good fit depending on your needs — explore them to see which might be right for you.

Facilities are included based on licensing, accreditations (when noted), years in operation, and endorsements from trusted local organizations. Always verify current availability and coverage. This is not a definitive ranking.

What are the best rehabs in Portland?

Notable choices include Hazelden Betty Ford – Newberg (national nonprofit reputation), Fora Health (provides integrated care for co-occurring conditions), Oregon Trail Recovery, and CODA’s Gresham Recovery Center (long-standing substance use disorder treatment provider and a mental health provider). Before you choose, call to make sure there are current openings, the level of care offered, and in-network coverage for your insurance plan. Ask for a written estimate and bridge care if beds are full.

What are the best rehabs for men in Portland?

Strong programs include Volunteers of America Oregon’s Men’s Residential Center (long-running, structured program focused on evidence-based care, skills-building, and transition planning) and Oregon Trail Recovery (offers a men’s track with gender-specific housing alongside PHP/IOP). Co-ed centers like Hazelden and CODA provide men’s groups within mixed settings. When you call to check availability, ask about the program’s peer community, vocational support, and planning for aftercare.

What are the best rehabs for women in Portland?

Some good options include VOA Oregon’s Women’s Residential Center, Central City Concern’s Letty Owings Center (designed for mothers of young children, allowing infants and toddlers to live on-site during treatment). You can also consider Awakenings by the Sea (on the coast) for a female-only residential setting. When you call, ask about trauma-informed therapy, childcare or parenting support, and planning for housing after treatment.

What are the best rehabs for veterans in Portland?

The VA Portland Health Care System provides specialized care for veterans looking for treatment. Veterans may also use community programs (such as CODA or Central City Concern) through VA Community Care authorization. Call programs to ask about VA eligibility, trauma-informed care, and smooth transitions between VA and community services.

What are the best Christian rehabs in Portland?

A notable program is Adult & Teen Challenge Pacific Northwest, which offers a long-term, Christian discipleship residential program for adults. Ask about alignment with your faith journey and the length and structure of the program.

What are the best rehabs for LGBTQIA+ people in Portland?

A strong LGBTQIA+ affirming option to start with is Quest Center for Integrative Health, which offers outpatient treatment and, with Bridges to Change, operates LGBTQIA-specific recovery housing (they prioritize admitting transgender and non-binary individuals). Call programs to ask about clinician training, pronoun practices, and dedicated groups. 

What are the best rehabs for pregnant people in Portland?

Consider Central City Concern’s Letty Owings Center, which supports pregnant and parenting clients, coordinating OB/perinatal care and using pregnancy-safe medications. Hospitals such as OHSU and Legacy also offer “Project Nurture” clinics that blend prenatal care with treatment. CODA’s family-friendly residential and outpatient programs also help mothers keep children with them and support fathers through outpatient and case-managed services. When you call, ask about perinatal-informed care, medication safety in pregnancy, and the ability to keep mother and baby together.

What are the best low-cost rehabs in Portland?

Strong low-cost choices include Central City Concern, Fora Health, CODA, and Volunteers of America Oregon. Ask whether you qualify for sliding-fee or other financial help and if they are full, whether you can join a waitlist and start bridge care immediately. 

Choosing the Right Rehab

How do I choose the right level of care?

Start with an independent assessment from a clinician who specializes in substance use problems and isn’t employed by a treatment center. They can help you choose between treatment options like outpatient, residential, hospital inpatient, withdrawal management (detox), and medications used alongside therapy. Learn more about choosing the right rehab for your needs. 

Who can help me choose the best rehab in Portland right now?

Call the Oregon Alcohol & Drug Helpline at 1-800-923-4357 for 24/7 guidance or Multnomah County’s Behavioral Health Call Center at 503-988-4888 for an assessment and referral. When you call, say: ‘I’m in Portland and need [detox/IOP/residential]; I have [Medicare/other]. Do you have openings this week?’

How can I check if a Portland rehab is licensed (and accredited)?

Before you choose, use the OHA Substance Use Disorders Services Directory to check on the license of a program. Also ask whether they hold national accreditation (e.g., The Joint Commission or CARF). Accreditation isn’t required, but it’s a useful extra quality signal. Learn more about accreditation and other indicators of quality care.