Native American Rehabilitation Association

What Native American Rehabilitation Association does

Native American Rehabilitation Association of the Northwest, Inc. (NARA NW) is a private non-profit organization founded in 1970 in Portland, Oregon, that delivers integrated healthcare, mental health, addiction treatment, dental, wellness, housing, and youth services to American Indians, Alaska Natives, and all individuals seeking care, regardless of ability to pay. The organization operates as a Federally Qualified Health Center under Federal Public Health Service deemed status pursuant to the Federal Tort Claims Act, receiving core funding from the U.S. Department of Health and Human Services and serving approximately 5,000 clients annually representing 255 tribes across 11 physical locations in the Greater Portland Area, including Portland and Gresham. Service delivery is grounded in traditional American Indian culture and spirituality, with ceremonial use of a sacred pipe, totem pole, sacred fire circle, and drum, and follows an Indian Hiring Preference policy to ensure culturally-competent staffing.

The service portfolio spans outpatient and residential substance abuse treatment, family treatment, primary healthcare (Indian Health Clinic, Wellness Center), dental care, adult mental health (Bear Lodge), youth programs (Youth Prevention, Youth Tobacco Cessation, Youth Residential Treatment Center), child and family services, transitional housing (Housing Program I and Totem Lodge), and emergency food assistance (Food Pantry Program). Underlying technology consists of standard healthcare information management systems with Microsoft Forms powering patient intake and HEP-C referral processing, and Zoom Phone supporting opt-in SMS patient communications under an August 2025 privacy policy update.

Revenue is generated through three streams: recurring federal health center funding from HHS, patient service revenue billed to Medicaid, Medicare, private insurance, and a sliding fee scale based on family size and income, and charitable donations from individuals, foundations, religious organizations, businesses, and corporations (including in-kind contributions of clothing, household goods, hygiene products, and traditional foods/medicines). The organization operates a hybrid pay-as-you-go pricing model with documented discounts for essential services and no patient is refused service due to inability to pay. Go-to-market is community-led through Indian Health Service referrals, community health worker networks, direct outreach, events, donations, and word-of-mouth within tribal communities, supplemented by a direct-to-consumer contact model for crisis and intake needs.

Name

Native American Rehabilitation Association

Legal name

Native American Rehabilitation Association of the Northwest, Inc.

Website

https://naranorthwest.org

Company type

Private

Founded year

1970

Operating status

Operating

Headcount range

251–500 employees

Short description

Native American Rehabilitation Association of the Northwest is a Portland-based non-profit Federally Qualified Health Center founded in 1970 that delivers culturally-centered healthcare, mental health, addiction treatment, dental, housing, and youth services to American Indians, Alaska Natives, and the broader community across 11 locations.

Ownership category

akta.pro rank

Product category

Community Health and Social Services

NAICS

Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232), Health Care and Social Assistance (62), Other Residential Care Facilities (62399)

SIC

Services-Health Services (8000), Services-Social Services (8300), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Tribal/Indigenous Public Health Authorities (HLAJAAAD)

akta.pro secondary industries

Outpatient Substance Use Disorder (SUD) Treatment Programs (HLAFABAD), Residential Mental Health Treatment Centers (HLAFACAC), Community Health & Health Equity/Social Determinants Units (HLAJAAAO)

Keywords

• Community health services
• Substance abuse treatment
• Behavioral health services
• Primary medical care
• Tribal health services

Headquarters

HQ city

Portland

HQ country

United States

HQ region

North America

Offices9 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Others

Revenue model

1. Federal Health Center Funding: As a Federally Qualified Health Center (FQHC), NARA NW receives funding from the U.S. Department of Health and Human Services and has Federal Public Health Service deemed status under the Federal Tort Claims Act. This provides malpractice coverage for covered individuals.
2. Patient Services Revenue: Healthcare services billed to patients including Medicaid, Medicare, private insurance, and sliding fee scale payments based on family size and income. Services include mental health, addiction treatment, dental, primary care, and wellness services.
3. Donations and Charitable Contributions: The organization accepts monetary donations from individuals, community groups, non-profits, foundations, religious organizations, businesses, and corporations. Physical donations of clothing, household items, baby items, hygiene products, office supplies, and traditional foods/medicines are also accepted.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels5 records

Core offering

NARA NW provides integrated, culturally-centered healthcare and social services to American Indians, Alaska Natives, and all individuals seeking care. Core offerings include mental and spiritual health counseling, inpatient and outpatient addictions treatment, primary health care and wellness programs, dental services, youth prevention and residential programs, child and family services, transitional housing, and emergency food assistance. Services are delivered through 11 facilities across the Greater Portland area on a sliding fee scale, with no patient refused service due to inability to pay.

Product overview

NARA NW operates as a unified, multi-service healthcare and social services organization offering a comprehensive portfolio of integrated programs. The core offerings include: mental and spiritual health services, inpatient and outpatient addictions treatment (both residential family treatment and outpatient), primary health care (Indian Health Clinic, Wellness Center), dental services, and behavioral health programs (Adult Mental Health Program, Child & Family Program). Additional support services include youth programs (Youth Prevention Program, Youth Tobacco Cessation, Youth Residential Treatment Center), transitional housing (Housing Program I, Housing Program II/Totem Lodge), and emergency assistance (Food Pantry, Hep-C testing/treatment). All services incorporate traditional Indian culture and spirituality, are centered on the family unit, and serve American Indians, Alaska Natives, and all individuals seeking care through 11 locations in the Greater Portland Area.

Differentiator

Problem solved

Functional benefit

Products and services

• Mental & Spiritual Health Services

Quantifiable outcome

• 5,000 clients served annually across 255 tribes represented
• +1 more outcomes

Named customers2 records

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Partnerships

Three partnerships are on record, tiered core and supporting.

• MicrosoftcoreTechnology or IntegrationNARA NW uses Microsoft Forms for patient intake processes including the HEP-C Referral Form for testing and treatment services. Microsoft Forms enables secure collection of patient information and streamline referral workflows.
• Zoom PhonesupportingTechnology or IntegrationNARA NW uses Zoom Phone as a third-party service provider for SMS messaging operations. This enables the organization to send updates, promotions, and relevant content to patients who opt-in to receive text messages.
• U.S. Department of Health and Human ServicescoreOthersAs a Federally Qualified Health Center, NARA NW receives funding from HHS and has Federal Public Health Service deemed status under the Federal Tort Claims Act. This provides malpractice coverage and operational support for serving AI/AN populations.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Seattle Indian Health Board: Seattle-based urban Indian health organization providing integrated medical, dental, behavioral health, and traditional healing services to AI/AN populations. Closest direct peer to NARA NW by mission, service model, and Pacific Northwest footprint.
• Native Health (Phoenix): Urban Indian health center in Phoenix delivering primary care, behavioral health, dental, and WIC services to AI/AN populations. Operates a multi-site FQHC model with cultural integration directly comparable to NARA NW.
• Indian Health Center of Santa Clara Valley: San Jose-based FQHC serving AI/AN and broader community with medical, dental, behavioral health, and traditional healing services. Directly comparable urban Indian FQHC multi-service model.
• First Nations Community HealthSource: Albuquerque-based urban Indian health organization providing primary care, behavioral health, dental, and social services to AI/AN populations. Comparable scope and FQHC funding model to NARA NW.
• Oklahoma City Indian Clinic: Urban Indian health center in Oklahoma City providing comprehensive medical, dental, behavioral health, and pharmacy services to AI/AN populations. Comparable multi-service FQHC operating model.
• American Indian Health & Services Corporation: Santa Barbara-based urban Indian health FQHC offering medical, dental, behavioral health, and community wellness services. Direct peer as a multi-site urban Indian health organization.

Regional players

• Outside In: Portland-based FQHC serving at-risk youth, homeless, and low-income populations with integrated medical, mental health, and social services. Direct Portland-area FQHC peer with overlapping homeless and youth populations.
• Multnomah County Health Department: Public health department operating FQHCs and behavioral health programs across Multnomah County. Local FQHC peer competing for the same Medicaid and sliding-fee-scale patients in the Portland market.

Broad incumbents

• Indian Health Service: Federal agency within HHS responsible for providing health services to AI/AN populations. Operates as the broad incumbent in AI/AN health care and contracts with Title V urban Indian organizations like NARA NW.

Others

• National Council of Urban Indian Health: National membership organization representing urban Indian health programs including NARA NW. Acts as advocacy, training, and convening body for the urban Indian health sector in which NARA operates.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/naranorthwest
• Facebookfacebook.com/naranw
• LinkedInlinkedin.com/company/nara-nw

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Native American Rehabilitation Association