Northwest Portland Area Indian Health Board

Northwest Portland Area Indian Health Board (NPAIHB), a tribally owned nonprofit established in 1972 to serve 43 federally recognized tribes across Idaho, Oregon, and Washington, is a federal grant recipient operating across health surveillance, public health infrastructure, behavioral health, chronic disease prevention, and workforce development programs for American Indian and Alaska Native populations. NPAIHB also holds one federal service contract under the Buy Indian Act set-aside provision. The organization competes predominantly as a prime grant recipient rather than as a federal contractor; 90% of recent awards are prime grants or contracts, with the remainder as sub-recipient grants from state health agencies and universities.

NPAIHB's grant footprint spans 94 prime awards across the Indian Health Service, Centers for Disease Control and Prevention, Substance Abuse and Mental Health Services Administration (SAMHSA), and National Institutes of Health. The organization serves as prime recipient on cooperative agreements and project grants addressing opioid response, suicide prevention, chronic disease prevention and control, tribal epidemiology and public health infrastructure, oral health, injury prevention, workforce development in community health, and health disparities research. Representative grants include a $430,000 project grant from Indian Health Service (CFDA 93.228) to operate the Northwest Tribal Dental Support Center through November 2030, supporting clinical and community-based oral health services across the Portland Area; a $1,001,000 project grant from EPA Region 10 (CFDA 66.444) beginning April 2025 through March 2029 for voluntary lead testing and remediation at 104 tribal and American Indian/Alaska Native child care centers and schools across the Pacific Northwest; a $150,000 cooperative agreement from Indian Health Service (CFDA 93.284) effective January 2026 through December 2030 to expand the Tribal Injury Prevention Cooperative Agreement Program addressing pedestrian safety, drowning prevention, and workplace violence de-escalation in Northwest tribes; and a five-year cooperative agreement from CDC's National Center for Chronic Disease Prevention and Health Promotion awarded September 2024 addressing chronic disease prevention through culturally responsive initiatives on heart disease, stroke, diabetes, obesity, oral health, and breastfeeding promotion.

NPAIHB also leads a consortium model on substance-use and behavioral-health grants, administering the Tribal Opioid Response (TOR) initiative phases 4, 5, and 6 as prime recipient from SAMHSA's Center for Substance Abuse Treatment, with TOR6 (awarded September 2024, extending through September 2029) bringing together 34 Northwest tribes to expand access to culturally appropriate substance-use treatment and recovery. Major grant programs cover suicide prevention (Zero Suicide Initiative Coordinating Center, 988 Tribal Response Project), mental health infrastructure (funded through SAMHSA and CDC), and health research training partnerships with Oregon Health & Science University and Portland State University (National NARCH Program, National Institute of General Medical Sciences). NPAIHB houses the Northwest Tribal Epidemiology Center, one of twelve designated tribal epidemiology centers nationwide, and functions as a regional technical-assistance and data-infrastructure hub for 43 member tribes on public health capacity-building, policy development, and health surveillance.

Customer concentration is dominated by the Indian Health Service (13 awards, $3.9 million combined potential value) and the Centers for Disease Control and Prevention (10 awards), representing 50% of award count and 78% of combined potential value across the portfolio. NPAIHB acts as a sub-recipient on 11 awards, primarily receiving pass-through funding from state health agencies (Washington State Department of Health, Oregon Health Authority) and universities (University of Washington, Oregon Health & Science University) to coordinate tribal health initiatives, workforce development, and surveillance activities in support of state-level CDC and HHS grants.

On its single federal service contract prime award, NPAIHB holds a firm fixed-price purchase order from Indian Health Service (award date November 2021, ultimate completion November 2026) valued at $1.91 million under the Special Diabetes Program for Indians to provide technical assistance, surveillance, education, training, and outreach supporting diabetes detection and treatment for the Portland Area. SCI-reported invoicing on service contracts totaled $717 thousand across FY2022–FY2023, delivered by approximately 2.2 FTEs in FY2022 and 1.5 FTEs in FY2023, with median government-paid hourly rates around $97.93/hr and no subcontractor engagement across SCI-reportable contracts. Nine awards face ultimate completion within the next twenty-four months, combining potential value of $1.9 million and presenting recompete opportunity for the organization across diabetes programs, injury prevention, epidemiology infrastructure, and workforce development initiatives.