Ideal Option - Tigard

They provide outpatient and telemedicine. Whichever one you start at the usual pattern is to step down through the levels rather than stop at once, and Beaverton is the closest place to carry that on if you move.

They do not detox. Withdrawal from alcohol or benzodiazepines in particular is a medical event, and the closest place set up for it is in Portland, 1.9 miles away.

They prescribe buprenorphine and naltrexone, which means the medication side is handled here rather than referred out to somewhere else in Portland.

There are 8 more within a short drive of Portland, so this does not have to be the only call you make.

They provide outpatient care and not a residential stay, so there is no bed to wait for. The nearest place with one is in Portland, 1.9 miles away.

Both get treated together at the programs that do this properly, by one team. Not every center has a prescriber for psychiatric medication, and that is a concrete difference to ask about. A program that cannot answer these questions is telling you something useful.

There is a role, and it is a bigger one than most people expect going in. A household that changes nothing while one person is treated puts that person back into the same week they left. Ask what the family program actually consists of and how often it meets.

Treatment often qualifies for job protected medical leave, though the rules depend on the employer's size and your length of service. Where an employer offers an assistance program, it is usually confidential and separate from your manager. Ask the center what paperwork they can provide for an employer, and what it will and will not say.