The Native American Rehabilitation Association Of The Northwest, Incorporated

The Native American Rehabilitation Association Of The Northwest, Incorporated, a tax-exempt nonprofit urban Indian organization and federally qualified health center based in Portland, Oregon, delivers integrated primary healthcare, behavioral health, substance use disorder treatment, and residential mental health services to American Indian and Alaska Native populations as a prime federal contractor and federal grant recipient. NARA NW is Native American–owned and minority-owned, operating 11 clinical and non-clinical sites across the Portland metropolitan area and competing predominantly full-and-open (no set-aside restrictions on recent awards), with 89% of recent awards held as prime positions across both contracts and grants.

NARA NW's contract and grant portfolio centers on residential and outpatient behavioral health and substance abuse facilities (NAICS 623220 and related outpatient care codes), delivered under firm fixed price, purchase order, and definitive contract instruments. The Indian Health Service anchors the contract footprint with 35 awards carrying $120 million in combined potential value, dominated by recent major awards including a $4.8 million purchase order for youth regional treatment center services in the Portland area (awarded September 28, 2026, running through September 2031 with a 24-bed unlocked residential setting for ages 12–17), a $14.1 million definitive contract for urban Indian health care services running through September 2029 (which generated $2.5 million in SCI-reported invoicing during FY2025 across 17.8 self-performed FTEs), and a $40.4 million definitive contract for adult residential treatment facility renovation awarded in 2022 through September 2027 (which invoiced $4.7 million in FY2023 and $2.9 million in FY2025). An earlier $478,739.50 purchase order for youth residential treatment services ran through September 2026 under the Buy Indian Act sole-source authority, recognizing NARA NW as the only responsible source for delivery in the Portland area.

Beyond IHS, NARA NW holds federal grant awards from the Substance Abuse and Mental Health Services Administration (SAMHSA), the Centers for Disease Control and Prevention (CDC), the Centers for Medicare and Medicaid Services (CMS), the National Center for Chronic Disease Prevention and Health Promotion, and the Bureau of Primary Health Care. Representative grant work includes a $763,371 SAMHSA SBIRT (substance use screening, brief intervention, referral to treatment) grant under CFDA 93.490, awarded September 30, 2026, targeting American Indian and Alaska Native youth and families across the Portland metropolitan area; a $5 million SAMHSA HEP C FREE program grant under CFDA 93.243, awarded September 30, 2025, to provide hepatitis C education, testing, same-day treatment, and prevention education to at least 10,000 individuals; an $848,707 HUD Continuum of Care grant under CFDA 14.267 awarded January 1, 2026, supporting homeless assistance for American Indian and Alaska Native populations; a CDC cooperative agreement on colorectal cancer screening awarded August 30, 2025; and a CDC-funded tribal wellness and youth resiliency program awarded June 30, 2022. NARA NW also received a $2.8 million SAMHSA First Responders Community Addiction Recovery Center grant under its FR-CARA project, awarded September 30, 2024, to address opioid crises through naloxone training and distribution, and a CMS Connecting Kids to Coverage program cooperative agreement awarded August 4, 2025, requesting $170,000 annually to increase Medicaid and CHIP enrollment among Oregon's American Indian and Alaska Native children.

SCI-reported invoicing totaled $19 million across FY2023–FY2025, with $6.3 million in FY2023 across 47.4 FTEs, $5.8 million in FY2024 across 31.0 FTEs, and $6.9 million in FY2025 across 39.2 FTEs. On these SCI-reportable service contracts, the vendor self-performed 100% of contracted hours with no subcontractor engagement; government-paid rates ranged from $58.61/hr (10th percentile) to $101.04/hr (90th percentile), with a median of $71.76/hr. NARA NW also holds approximately 12 grant sub-awards, primarily flowing through the Oregon Health Authority for substance use disorder, gambling disorder, and youth substance abuse prevention and treatment programs. Recent activity remains steady at 6–10 awards annually across 2025–2026, with 13 awards (combined potential value $40.4 million) facing ultimate completion within the next twenty-four months, creating recompete exposure in adult and youth residential treatment services, urban Indian health care, and hepatitis C elimination programming.