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Opiate addiction treatment in Washington

Real treatment centers in Washington's largest cities, drawn from public records. No paid placements.

Listings checked October 2026.

How we chose these

  • In the federal treatment locator
  • Offers medication for opioid use disorder
  • Accepts Medicaid
  • Five nearest the city center. Not a ranking.

Treatment centers in Seattle

More cities in Washington

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Treatment centers in Spokane

Treatment centers in Tacoma

What to ask when you call

Illustration of a woman on the phone at a table with a notebook, a man sitting with her
  • Do you take my insurance or Medicaid?
  • How soon can I be seen?
  • Do you offer buprenorphine or methadone?
  • What will the first visit cost?

Paying for treatment in Washington

With Medicaid

Washington Medicaid covers medication treatment and counseling.

See your options: With Medicaid

With private insurance

Most plans cover treatment. Expect a copay.

See your options: With private insurance

With no insurance

Sliding-scale clinics and state-funded programs can help.

See your options: With no insurance

About these listings

This page lists 15 treatment centers in Seattle, Spokane and Tacoma. Of those, 14 report offering buprenorphine, 5 methadone and 11 naltrexone. 1 provide residential care and 2 offer medically supervised withdrawal (detox).

Every center here accepts Medicaid, and most also take private insurance or self-pay. To understand your own costs before you call, read what Medicaid covers, how private insurance works or your options with no insurance. Not sure which kind of care fits? Start with the treatment options or how medication treatment works. Our method is explained in how we choose listings.

Treatment in nearby states

Questions about treatment in Washington

How do I get into treatment quickly in Washington?

Call a center on this page and ask for the next intake appointment; many can see new patients within days. If you cannot wait, some hospital emergency departments can start buprenorphine the same day. SAMHSA's free helpline, 1-800-662-4357, can also find openings near you.

Does Washington Medicaid cover methadone and buprenorphine?

Yes. Federal law requires every state Medicaid program, including the one in Washington, to cover medications for opioid use disorder along with counseling. Ask the center whether it accepts your Medicaid plan.

Can I get treatment in Washington without insurance?

Yes. State-funded programs, community health centers and sliding-scale clinics treat people without insurance. It is also worth checking whether you qualify for Medicaid in Washington, since many people do without knowing it.

Where can I get naloxone in Washington?

Pharmacies sell naloxone nasal spray without a prescription. Many local health departments and community programs give it out free.

Listings come from the federal treatment locator, FindTreatment.gov, and were checked in October 2026. They are not paid placements and not a ranking. Services and payment options change, so call to confirm before you go.

Need help right now?

Someone is not breathing: call 911 Crisis or thoughts of suicide: call or text 988 Free treatment referral, 24/7: 1-800-662-4357 (SAMHSA National Helpline)