MAT Clinics in Washington State: Methadone, Suboxone & Vivitrol Treatment
Explore 33 Medicare-enrolled opioid treatment program (OTP) locations across 24 Washington cities, compare medications, and find local support. Washington Apple Health covers the three medications used for opioid use disorder; individual plan and provider details vary. This guide covers Washington State, not Washington, D.C.
On this page — jump to a section
- Washington MAT at a Glance
- Get Help Finding a Clinic
- Find Clinics by City
- Treatment by Medication
- Methadone Clinic Rules
- Paying for MAT
- Telehealth MAT
- Overdose in Washington
- Areas with Limited Access
- Resources & Helplines
- Special Populations
- How to Choose a Clinic
- Frequently Asked Questions
- Sources & Editorial Standards
- Nearby States
Washington MAT at a Glance
What this means for you: Treatment choices exist, but methadone clinic access varies sharply by county; consider office-based or telehealth options when travel is difficult.
Get Help Finding a Clinic in Washington
Need help exploring Washington treatment options?
Discuss possible next steps, insurance questions, and locations to contact.
Call 1-(347) 591-7540For an overdose or medical emergency, call 911. For crisis support call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MATClinicGuide.com offers education and treatment navigation, not medical care. Calls go to our navigation line and may reach participating providers or partners, not the clinic in this directory.
Find MAT Clinics by City in Washington
Washington has 33 Medicare-enrolled opioid treatment program locations across 24 cities in the September 8, 2026 CMS listing. These are directory starting points for methadone treatment, not an appointment or insurance guarantee.
Top cities and communities for methadone clinics
Washington methadone OTP directory: 24 cities
These listings come from a CMS Medicare-enrollment source. Medicare enrollment alone does not confirm current SAMHSA certification, open intake, or services for every patient; ask each location about its current program status.
Aberdeen — 2 OTPs
Quinault Indian Nation Methadone OTP listing
511 W HERON ST, Aberdeen, WA 98520-6022
Airway Heights — 1 OTP
Kalispel Tribe Of Indians Methadone OTP listing
10811 W 6TH AVE, Airway Heights, WA 99001-5345
Anacortes — 1 OTP
SWINOMISH HEALTH SERVICES (didgʷálič Wellness Center) Methadone OTP listing
8212 S MARCH POINT RD, Anacortes, WA 98221-8684
Arlington — 1 OTP
Stillaguamish Tribe Of Indians Methadone OTP listing
5700 172ND ST NE, # A, Arlington, WA 98223-7742
Auburn — 1 OTP
We Care Daily Clinics Llc Methadone OTP listing
3320 AUBURN WAY N, Auburn, WA 98002-1805
Bellevue — 1 OTP
Therapeutic Health Services Methadone OTP listing
1412 140TH PL NE, Bellevue, WA 98007-3915
Bellingham — 2 OTPs
LUMMI INDIAN BUSINESS COUNCIL (Lummi Counseling Services OTP) Methadone OTP listing
2616 KWINA RD, Bellingham, WA 98226-9291
Wchs, Inc Methadone OTP listing
3240 NORTHWEST AVE, Bellingham, WA 98225-1318
Bremerton — 1 OTP
Baart Behavioral Health Services Inc Methadone OTP listing
1520 NE RIDDELL RD, STE 110, Bremerton, WA 98310-3005
Everett — 1 OTP
Therapeutic Health Services Methadone OTP listing
9930 EVERGREEN WAY, STE Z150, Everett, WA 98204-3889
Kelso — 1 OTP
Wchs Inc Methadone OTP listing
305 PACIFIC AVE S, STE C, Kelso, WA 98626-1638
Kent — 1 OTP
Wchs Inc Methadone OTP listing
21851 84TH AVE S, # 101, Kent, WA 98032-1958
Lakewood — 2 OTPs
Wchs Inc Methadone OTP listing
9500 FRONT ST S, STE 100, Lakewood, WA 98499-9415
Rainier Internal Medicine Llc Methadone OTP listing
9720 S TACOMA WAY, Lakewood, WA 98499-4456
Lynnwood — 1 OTP
Wchs, Inc. Methadone OTP listing
2322 196TH ST SW, Lynnwood, WA 98036-7010
Parkland — 1 OTP
Rainier Internal Medicine Llc Methadone OTP listing
123 132ND ST S, Parkland, WA 98444-4807
Port Angeles — 1 OTP
Baart Behavioral Health Services Inc Methadone OTP listing
716 S CHASE ST, Port Angeles, WA 98362-6122
Seattle — 2 OTPs
Therapeutic Health Services Methadone OTP listing
1305 SENECA ST, Seattle, WA 98101-2828
Therapeutic Health Services Methadone OTP listing
1116 SUMMIT AVE, Seattle, WA 98101-2831
Sequim — 1 OTP
Jamestown S'Klallam Tribe Methadone OTP listing
526 S 9TH AVE, Sequim, WA 98382-3626
Shoreline — 1 OTP
Therapeutic Health Services Methadone OTP listing
16715 AURORA AVE N, STE 102, Shoreline, WA 98133-5310
Spokane — 2 OTPs
Spokane Regional Health District Methadone OTP listing
312 W 8TH AVE, Spokane, WA 99204-2506
Tacoma — 5 OTPs
Tacoma Pierce County Health Dept Methadone OTP listing
3629 S D ST, Tacoma, WA 98418-6813
Rainier Internal Medicine Llc Methadone OTP listing
3727 S TACOMA WAY, Tacoma, WA 98409-3134
Rainier Internal Medicine Llc Methadone OTP listing
510 TACOMA AVE S, Tacoma, WA 98402-5416
Rainier Internal Medicine Llc Methadone OTP listing
5929 WESTGATE BLVD, STE A, Tacoma, WA 98406-2567
Puyallup Tribal Opioid Clinic Inc Methadone OTP listing
503 E 26TH ST, Tacoma, WA 98421-1343
Tulalip — 1 OTP
Quil Ceda Creek Counseling Company Methadone OTP listing
6330 31ST AVE NE, STE 101, Tulalip, WA 98271-7423
Tumwater — 1 OTP
Hope And Healing Clinic Llc Methadone OTP listing
9474 LATHROP INDUSTRIAL DR SW, Tumwater, WA 98512-1109
Vancouver — 1 OTP
Wchs Inc Methadone OTP listing
2009 NE 117TH ST, STE 101, Vancouver, WA 98686-4022
Yakima — 1 OTP
Comprehensive Healthcare Methadone OTP listing
402 S 4TH AVE, Yakima, WA 98902-3546
Suboxone, buprenorphine and Vivitrol providers in Washington
Office-based buprenorphine may be offered by primary care, psychiatry, and addiction-medicine clinicians. The Washington Recovery Help Line MOUD locator lets you search methadone, buprenorphine, and naltrexone services. You can also explore FindTreatment.gov by ZIP code.
Washington’s Telebuprenorphine Hotline at (206) 289-0287 offers on-demand telemedicine access to buprenorphine prescriptions 24 hours a day; clinical assessment determines next steps.
Clinic locations are based on CMS Medicare OTP provider listings dated September 8, 2026. Confirm hours, admissions, medication offerings, eligibility, and insurance directly with the clinic.
MAT Treatment Options in Washington by Medication
Methadone
Washington has 33 Medicare-enrolled OTP locations across 24 cities, with several in Tacoma, Seattle, Lakewood, and Spokane. Methadone for opioid use disorder is administered or dispensed through an eligible certified OTP, rather than a typical retail-pharmacy prescription. Patients may need frequent visits initially; an OTP team assesses dose, stabilization, and take-home eligibility. The availability of a center in a city does not establish immediate admission or the best match for a specific person. Read how methadone treatment works and what an OTP is.
Buprenorphine and Suboxone
Washington has a 24/7 Telebuprenorphine Hotline at (206) 289-0287 that can connect eligible callers with a telemedicine assessment and prescription. Buprenorphine can also be prescribed by eligible office-based practitioners, and some people prefer a clinic closer to home. A clinician determines whether a medication start is appropriate and explains induction and follow-up. Search the Washington Recovery Help Line MOUD locator for choices in your region. Learn about buprenorphine and Suboxone and counseling and medication.
Long-acting buprenorphine: Sublocade and Brixadi
Long-acting injectable buprenorphine may be an option for some Washington patients who prefer not to take a daily dose. Sublocade and Brixadi have different administration schedules and clinical requirements. A qualified clinician determines whether the medication is suitable and provides the injection, rather than a patient obtaining an injection for self-administration. Ask the prescribing practice about its ability to administer long-acting formulations, Medicaid billing, and follow-up plans. For more information, visit the Sublocade guide.
Naltrexone and Vivitrol
Extended-release naltrexone, sold as Vivitrol, is a non-opioid medication option for opioid use disorder. It generally requires a medically appropriate opioid-free period first, since giving it while opioids remain in the body can trigger withdrawal. Washington Apple Health includes naltrexone among the medications covered for OUD under the federal Medicaid treatment benefit, while individual authorization and administration details can vary. Use the state MOUD locator to explore participating facilities. Compare naltrexone and Vivitrol treatment.
| Medication | Washington setting | Visits at start | Apple Health |
|---|---|---|---|
| Methadone | Certified OTP | Often frequent; take-home rules apply | Covered |
| Buprenorphine / Suboxone | Office practice or eligible telehealth service | Clinical follow-up varies | Covered |
| Sublocade / Brixadi | Qualified injection provider | Formulation-specific | Buprenorphine covered; confirm product details |
| Naltrexone / Vivitrol | Qualified prescribing and injection clinic | Assessment then scheduled dosing | Covered; confirm formulation |
Methadone (OTP) Rules in Washington
Washington opioid treatment programs are licensed by the Washington Department of Health and are subject to federal requirements, including 42 CFR Part 8. The state’s 33 CMS-listed locations can explain their admission and dosing procedures.
Intake, dosing and treatment plans
An OTP may review health history, current medications, substance use, symptoms, and treatment goals before creating a plan. Ask how quickly an intake assessment can be scheduled, what identification and insurance information to bring, and whether an in-person visit is needed before receiving medication.
Take-home methadone
Federal OTP regulations updated in 2024 allow more flexibility in deciding when take-home doses may be clinically appropriate. A Washington program will consider patient safety, stability, applicable state requirements, and its procedures; take-home medicine is not automatic at enrollment.
Guest dosing and moving between programs
People traveling from Tacoma to another Washington city or relocating between the west and east sides of the state can ask about guest dosing or transfer coordination. The sending and receiving programs must arrange the details. Keep contact information and medication records available when discussing a transfer.
Paying for MAT in Washington
Washington Apple Health (Medicaid)
Washington Apple Health is administered by the Health Care Authority (HCA). Washington adopted Medicaid expansion effective January 1, 2014, and federal Medicaid law requires coverage of methadone, buprenorphine, and naltrexone for opioid use disorder. Provider participation, preferred products, pharmacy arrangements, and any authorization requirements still need review with your plan and clinic.
| Service | Covered | Notes |
|---|---|---|
| Methadone for OUD | Yes | Through participating eligible OTP services |
| Buprenorphine for OUD | Yes | Formulation, pharmacy and authorization details vary |
| Naltrexone for OUD | Yes | Ask about injection administration and billing |
| Outpatient substance-use treatment | Confirm with plan | Ask HCA or your managed-care plan about current benefits |
| Residential substance-use treatment | Confirm with plan | Eligibility and benefit details depend on plan and care setting |
Medicare
Medicare Part B has a benefit for eligible OTP treatment services, including appropriate methadone treatment. Other outpatient prescriptions may be handled under Part D or other applicable coverage rules; contact the program and Medicare plan before choosing a provider.
Private insurance
Commercial insurance may cover medication and associated care, but networks, billing and cost sharing differ. Ask if a methadone OTP participates in the plan, and if buprenorphine or long-acting injections require a specialty-pharmacy process.
No insurance or limited income
The Washington Recovery Help Line at 1-866-789-1511 can help identify treatment options and discuss where to ask about financial assistance. A clinic may offer different payment arrangements; request a full explanation of fees before signing up.
Explore treatment insurance coverage, insurance verification, and MAT costs.
Need help checking Washington treatment options?
Discuss possible next steps, insurance questions, and locations to contact.
Call 1-(347) 591-7540For an overdose or medical emergency, call 911. For crisis support call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MATClinicGuide.com offers education and treatment navigation, not medical care. Calls go to our navigation line and may reach participating providers or partners, not the clinic in this directory.
Telehealth MAT in Washington
Washington residents may access buprenorphine through telehealth when clinically appropriate, including the statewide 24/7 Telebuprenorphine Hotline at (206) 289-0287. Telehealth does not mean every applicant will receive a prescription.
Telehealth Suboxone in Washington
Federal DEA/HHS prescribing flexibilities for controlled medications extend through December 31, 2026, under the policy identified for this guide; state requirements and clinician procedures can also apply and may change. A telemedicine practitioner decides whether a remote assessment, additional evaluation, or in-person care is needed. Methadone for OUD still needs an OTP framework.
Use King County Public Health’s treatment help resource or read more about telehealth MAT.
Opioid Overdose in Washington: Why Access Matters
Washington recorded 3,145 drug overdose deaths in 2024, down from 3,477 in 2023. Its age-adjusted all-drug overdose death rate fell from 42.4 to 37.6 per 100,000 but stayed above the 2024 national rate of 23.1, according to CDC NCHS data presented by KFF.
Washington overdose death-rate trend
| Year | All-drug death rate / 100,000 | Opioid death rate / 100,000 |
|---|---|---|
| 2019 | 15.8 | 10.5 |
| 2020 | 22.0 | 15.4 |
| 2021 | 28.1 | 20.5 |
| 2022 | 33.7 | 25.9 |
| 2023 | 42.4 | 35.0 |
| 2024 | 37.6 | 30.2 |
The Washington opioid overdose death rate was 30.2 per 100,000 in 2024, compared with the national opioid rate of 16.0. Its 2024 rate remained much higher than in 2019 even after the latest decline. Accessible treatment, naloxone and support services remain important; see opioid overdose and naloxone.
Areas of Washington with Limited MAT Access
Twenty-five of Washington’s 39 counties have no location in the September 2026 CMS OTP listing. The nearby cities below are starting points based on regional geography, not a guarantee of the shortest trip; check travel routes and clinic intake before making plans.
Tri-Cities and southeast Washington
Communities: Kennewick, Pasco, Richland and Walla Walla.
OTP cities to explore: Yakima.
North Central Washington
Communities: Wenatchee, Moses Lake, Ellensburg, Okanogan and Omak.
OTP cities to explore: Yakima, Spokane and Everett-area communities.
Northeast Washington and the Palouse
Communities: Colville, Newport and Pullman.
OTP cities to explore: Spokane and Airway Heights.
Southwest Washington
Communities: Centralia, Chehalis and Long Beach.
OTP cities to explore: Tumwater, Kelso and Aberdeen.
Skagit and San Juan Islands
Communities: Mount Vernon and Friday Harbor.
OTP cities to explore: Anacortes and Bellingham.
Columbia Gorge
Communities: Stevenson, White Salmon and Goldendale.
OTP cities to explore: Vancouver.
Western Olympic Peninsula
Communities: Forks.
OTP cities to explore: Port Angeles and Aberdeen.
When daily travel is not practical, the Washington 24/7 Telebuprenorphine Hotline at (206) 289-0287 and Recovery Help Line at 1-866-789-1511 can help you explore alternatives.
Washington Resources & Helplines
Washington State Health Care Authority
HCA Division of Behavioral Health and Recovery administers Apple Health-related behavioral-health programs. Visit HCA.
Washington Recovery Help Line
24/7 free help finding treatment: 1-866-789-1511. Recovery Help Line website.
Washington Telebuprenorphine Hotline
24/7 telemedicine assessment and access to buprenorphine prescriptions when appropriate: (206) 289-0287.
Naloxone and overdose safety
Washington residents can explore free naloxone by mail and state overdose-prevention information.
Washington’s Good Samaritan overdose law
Under RCW 69.50.315, people who seek emergency help in good faith during an overdose, and the person experiencing it, have protections against drug-possession charges based on evidence obtained from that request for help. The law does not exempt other offenses. In an overdose, call 911 and use naloxone if available.
For crisis support in Washington, call or text 988. For national treatment referrals, call the SAMHSA National Helpline at 1-800-662-4357.
Special Populations in Washington
Pregnant and postpartum people
Pregnant Washington residents with opioid use disorder can seek individualized medication guidance from a prenatal clinician and an addiction-care specialist. Methadone and buprenorphine are well-established medication options during pregnancy, and decisions should reflect medical history and pregnancy needs. Do not stop prescribed medication without medical guidance. The Washington Recovery Help Line can help start a location search.
Veterans
Veterans in Washington can ask their VA healthcare team about medication for opioid use disorder and related mental-health services. For community care, the state’s OTP directory includes locations in Seattle, Tacoma, Spokane, and other cities. The right referral pathway depends on VA eligibility and local services, so ask about coordination before changing care.
Adolescents and young adults
Young people in Washington need a treatment assessment suited to their age, health, consent requirements, and family circumstances. Availability of specific medications and clinics may differ for minors. A clinician or Washington Recovery Help Line navigator can help identify programs willing to assess adolescents and young adults.
People leaving jail or prison
Continuing medication after release is an important part of avoiding treatment gaps. People returning to Washington communities can ask discharge teams to coordinate appointments, prescriptions, insurance status, and overdose-prevention supplies before release. The public OTP directory and Recovery Help Line can be starting points for community referrals.
Rural residents and Tribal communities
Washington’s CMS listing includes eight Tribal OTP locations, including programs connected with the Jamestown S’Klallam, Swinomish, Kalispel, Lummi, Stillaguamish, Quinault, Puyallup and Tulalip communities. Some may serve people who are not Tribal members; ask each program about eligibility. Rural patients outside the 14 counties with OTP listings may also consider office-based buprenorphine or telehealth.
How to Choose a MAT Clinic in Washington
Choose a Washington MAT clinic based on the medication you want to discuss, practical access, insurance, and respectful treatment—not a promise of a fast cure. A good first call should make it easier to understand the next step.
Questions for a methadone OTP
- Is your Washington OTP currently accepting new patients?
- What are intake and daily medication hours?
- Do you accept Apple Health or my specific insurance?
- What are your take-home dose assessment procedures?
- Can you coordinate guest dosing or a transfer if I travel?
Questions for a buprenorphine provider
- Do you prescribe buprenorphine for opioid use disorder?
- Is my first visit in person or available through telehealth?
- Which pharmacy or injection products can you work with?
- How do refills, follow-up visits and after-hours concerns work?
- Can you help with naloxone and additional support if I want it?
What happens at the first visit
- Discuss treatment goals, recent medication and opioid exposure, and symptoms.
- Review relevant health and safety factors and appropriate medication choices.
- Agree on a practical medication start and follow-up plan, if suitable.
- Receive instructions for contacting the care team if concerns arise.
More context: medications for OUD, MAT vs. MOUD, treatment duration, and helping a loved one.
Need help checking Washington treatment options?
Discuss possible next steps, insurance questions, and locations to contact.
Call 1-(347) 591-7540For an overdose or medical emergency, call 911. For crisis support call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MATClinicGuide.com offers education and treatment navigation, not medical care. Calls go to our navigation line and may reach participating providers or partners, not the clinic in this directory.
FAQs About MAT Clinics in Washington
How many methadone clinics are in Washington State?
The September 8, 2026 CMS Medicare OTP file lists 33 locations in 24 Washington cities and 14 of the state’s 39 counties. Tacoma has five of those listings, while Seattle, Spokane, Lakewood, Bellingham, and Aberdeen each have two. A CMS listing is a useful starting point, but contact a clinic to ask about current enrollment, services, and admission.
Does Washington Apple Health cover Suboxone?
Yes. Washington Apple Health is the state Medicaid program, and federal Medicaid law requires coverage of buprenorphine medication for opioid use disorder, along with methadone and naltrexone. Coverage details can differ by formulation, provider, and plan arrangements. Ask your prescribing practice and Apple Health plan about the specific medication, pharmacy, or injection product.
Are there free methadone clinics in Washington?
Washington residents who have limited income can start with Apple Health eligibility and the Washington Recovery Help Line at 1-866-789-1511. Apple Health covers methadone for opioid use disorder when program and coverage requirements are met. Free care cannot be promised for any particular location; ask the OTP about accepted insurance, costs, and financial-assistance options.
Can I get telehealth Suboxone in Washington?
Washington’s Telebuprenorphine Hotline at (206) 289-0287 offers 24/7 telemedicine access to a clinical assessment and buprenorphine prescriptions when appropriate. Federal prescribing flexibilities run through December 31, 2026 under the policy checked for this guide, and state rules may also matter. A clinician determines eligibility; telehealth does not ensure a prescription.
Where are methadone clinics in Seattle and Tacoma?
The September 2026 CMS list includes two Seattle OTP locations, at 1305 Seneca Street and 1116 Summit Avenue, and five Tacoma listings. Tacoma also has nearby listed options in Lakewood and Parkland. Use the city directory on this page for clinic names, telephone numbers, addresses, and directions, then check intake schedules directly.
Can people who are not Tribal members use Tribal OTPs in Washington?
Eligibility varies by program. The CMS Washington list includes eight Tribal OTP locations, including clinics associated with the Lummi, Swinomish, Quinault and Puyallup communities. Some Tribal programs may also serve people who are not Tribal members. Call the individual location to ask who it accepts, whether it offers your medication, and what enrollment documents are needed.
Is Vivitrol available for opioid use disorder in Washington?
Vivitrol is an extended-release naltrexone injection that some qualified Washington treatment providers may offer. A person generally needs to complete an appropriate opioid-free period before starting naltrexone to avoid precipitated withdrawal. Washington Apple Health covers naltrexone for opioid use disorder; confirm local provider availability and injection billing through the Recovery Help Line MOUD locator.
Which Washington counties have no methadone OTP listing?
The September 2026 CMS list places at least one OTP in 14 of Washington’s 39 counties, meaning 25 counties have no listed location. Areas such as the Tri-Cities, Walla Walla, and Wenatchee are not shown with local OTPs in this list. Residents can explore travel to listed cities or seek office-based and telehealth buprenorphine care.
What should I bring to a Washington methadone clinic intake?
Ask the Washington OTP which identification, insurance details, medication list, prior treatment records, and referral documents it requests. Clinic processes differ, and an initial visit usually involves a health and medication assessment and discussion of a dosing plan. If transportation is hard, also ask about hours and future take-home evaluation before scheduling.
Where can I get naloxone in Washington?
Washington offers a free naloxone-by-mail request option through the People’s Harm Reduction Alliance, and naloxone may also be available at pharmacies under a statewide standing order. Narcan nasal spray is sold over the counter. If someone is experiencing a suspected overdose, call 911 immediately and administer naloxone if available; additional emergency care may still be needed.
Sources, Methodology & Editorial Standards
- CMS, Medicare Opioid Treatment Program Providers (September 8, 2026)
- King County Public Health, treatment help and Telebuprenorphine Hotline
- Kitsap Public Health, substance use resources
- Washington State Health Care Authority, Apple Health
- Washington Recovery Help Line and MOUD search
- People’s Harm Reduction Alliance, Washington Naloxone Order Form
- Washington RCW 69.50.315, Good Samaritan overdose protections
- KFF, Medicaid expansion status (October 2026)
- KFF / CDC NCHS, drug overdose death rates (2019–2024)
- KFF / CDC NCHS, opioid overdose death rates (2019–2024)
Clinic names, addresses and telephone numbers were organized from the CMS Medicare OTP provider file dated September 8, 2026. County and city counts reflect those listings; the file does not prove every location currently offers walk-in admission. Overdose statistics are CDC NCHS data presented by KFF. This guide is educational and does not replace clinical advice.
MATClinicGuide.com does not own or operate the clinics shown here, prescribe medication, diagnose conditions, or treat patients. Our helpline is a treatment-navigation line, not a direct line to a clinic listed above. Calls may be answered by or routed to participating treatment providers or navigation partners. Confirm insurance, clinical offerings and admission details with each clinic. For an emergency call 911; for emotional crisis support call or text 988.
Our editorial policy, medical disclaimer, and advertising and referral disclosure explain how this site works.
MAT Clinics in Nearby States
Looking for treatment outside Washington State? Explore neighboring state guides or return to the national state directory.