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Pathway Recovery

By State · SAMHSA-verified directory

Addiction treatment in Washington

526 verified treatment centers across Washington. Overdose rate 28.0 per 100,000 (CDC 2023) · Medicaid expanded.

526

Centers

119

Cities

Expanded

Medicaid

24/7

Helpline

Map of treatment centers in Washington

400 locations with a mapped address. Select a marker to open its page.

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Free & confidential · 24/7 · Insurance verified while you are on the line.

(229) 540-1666

Cities in Washington with verified facilities

119 cities. Click through for city-specific listings.

Seattle

59 centers

Spokane

45 centers

Tacoma

30 centers

Everett

22 centers

Vancouver

21 centers

Bellevue

19 centers

Olympia

16 centers

Bellingham

14 centers

Yakima

12 centers

Wenatchee

11 centers

Bremerton

11 centers

Shelton

9 centers

Mount Vernon

9 centers

Longview

9 centers

Kent

8 centers

Spokane Valley

7 centers

Renton

7 centers

Lynnwood

7 centers

Kirkland

7 centers

Edmonds

7 centers

Aberdeen

7 centers

Redmond

6 centers

Pasco

6 centers

Lakewood

6 centers

Chehalis

6 centers

Richland

5 centers

Port Angeles

5 centers

Kennewick

5 centers

Auburn

5 centers

Arlington

5 centers

Puyallup

4 centers

Federal Way

4 centers

Clarkston

4 centers

Yelm

3 centers

Raymond

3 centers

Oak Harbor

3 centers

Marysville

3 centers

Lacey

3 centers

Kelso

3 centers

Issaquah

3 centers

Centralia

3 centers

Burlington

3 centers

Bothell

3 centers

Anacortes

3 centers

Woodinville

2 centers

Toppenish

2 centers

Sunnyside

2 centers

Snoqualmie

2 centers

Poulsbo

2 centers

Port Townsend

2 centers

Port Orchard

2 centers

Mukilteo

2 centers

Long Beach

2 centers

Hoquiam

2 centers

Graham

2 centers

Gig Harbor

2 centers

Elma

2 centers

Ellensburg

2 centers

Deer Park

2 centers

Cathlamet

2 centers

Airway Heights

2 centers

Yangebup

1 centers

Wellpinit

1 centers

Wapato

1 centers

Walla Walla

1 centers

Vashon

1 centers

University Place

1 centers

Tukwila

1 centers

Tokeland

1 centers

Taholah

1 centers

Suquamish

1 centers

Sumner

1 centers

Stanwood

1 centers

South Perth

1 centers

Sequim

1 centers

Selah

1 centers

Sammamish

1 centers

Royal City

1 centers

Quincy

1 centers

Pullman

1 centers

Perth

1 centers

Omak

1 centers

Olalla

1 centers

Ocean Park

1 centers

Northbridge

1 centers

North Bend

1 centers

Newport

1 centers

Neah Bay

1 centers

Mountlake Terrace

1 centers

Mossyrock

1 centers

Moses Lake

1 centers

Morton

1 centers

Montesano

1 centers

Monroe

1 centers

Medical Lake

1 centers

Mead

1 centers

Mattawa

1 centers

Lopez Island

1 centers

Lewis County

1 centers

Keller

1 centers

Grandview

1 centers

Grand Coulee

1 centers

Forks

1 centers

Everson

1 centers

Enumclaw

1 centers

Eastsound

1 centers

E. Lacey

1 centers

Duvall

1 centers

Dayton

1 centers

Coupeville

1 centers

Colville

1 centers

Chelan

1 centers

Castle Rock

1 centers

Camas

1 centers

Buena

1 centers

Bonney Lake

1 centers

Belfair

1 centers

Battle Ground

1 centers

Bainbridge Island

1 centers

Understanding treatment in Washington

On any given week in Washington, several hundred residents are hospitalized for overdose. The treatment infrastructure that could prevent most of the deaths behind those hospitalizations is distributed unevenly — 526 facilities concentrated in specific metros, thinning as you move toward the Pacific Northwest geography. This is an editorial look at who that serves and who it fails.

The Medicaid question

Medicaid: Washington expanded Medicaid in 2014 under the Affordable Care Act. The word "Medicaid" carries different weight in Washington than in a neighboring state with the opposite policy. Has realistic access to Medicaid coverage for addiction treatment once enrolled — and the population that falls outside coverage has to work harder, wait longer, and sometimes simply does without.

The overdose-mortality context

At 28.0 per 100,000 in Washington, overdose mortality ranks within a specific band of the national distribution. fentanyl accounts for most fatalities, with fentanyl contamination driving the trajectory; the places where the most deaths happen and the places where the most treatment is funded are often not the same places. The specific context: Seattle fentanyl mortality paired with east-of-Cascades rural provider shortage.

How access actually works in Washington

Inside the 526 licensed facilities in Washington, the clinical quality variation is substantial. The practical context here is that Seattle fentanyl mortality paired with east-of-Cascades rural provider shortage — which is why the difference between a well-run IOP and a fee-for-service residential chain that churns patients through 30-day cycles is not visible from the outside. It becomes visible when you ask the specific question: "Does this program offer buprenorphine for opioid use disorder?"

What to do next

The next productive step for most Washington residents considering treatment is boringly practical: call a primary-care doctor. PCPs now routinely prescribe buprenorphine, can initiate MAT, and have access to referral networks that the patient-brokering side of the industry does not feed on. A PCP visit costs less and produces fewer surprises than a direct call to a treatment facility's admissions line.

Last updated September 2026. Sources: SAMHSA Treatment Locator, CDC WONDER (overdose mortality 2023), KFF Medicaid Tracker, ASAM Criteria 4e. See our editorial policy.