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Sponsored| Name | Address | City |
|---|---|---|
| Salem Comprehensive Treatment Center | 1160 Liberty Street SE | Salem |
| Marion County Drug Treatment Program | 2035 Davcor Street S.E. | Salem |
| CRC Health Oregon, Inc. | 115 Lancaster Dr. | Salem |
| Integrated Health Clinics | 17882 Southeast McLoughlin Blvd. | Milwaukie |
| Tigard Comprehensive Treatment Center | 10763 SW Greenburg Rd Suite 100 | Tigard |
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Finding Opioid Use Disorder Treatment in Salem
As Oregon’s capital and one of the larger cities in the Willamette Valley, Salem has both clinic-based and office-based treatment for opioid use disorder, so most people here can find care without leaving Marion County.
Medication for opioid use disorder, often shortened to MOUD, is the standard of care, and three medications are used: methadone, buprenorphine (including Suboxone), and naltrexone (including the Vivitrol injection). The listings on this page connect you to local providers, and the helpline is there if you want to talk through where to start.
Your Options in Salem, and Where Each One Is Provided
Three medications treat opioid use disorder, and they come in two kinds of settings. Knowing the difference helps you read the listings below. Methadone for opioid use disorder is provided only through licensed opioid treatment programs (OTPs), not regular pharmacies, so if you want methadone, you will look for an OTP.
Buprenorphine, including Suboxone and other buprenorphine-naloxone products, can be prescribed in a doctor’s office and filled at a pharmacy, or provided through a clinic; a long-acting injectable form, Sublocade, is given monthly.
Naltrexone, including the monthly Vivitrol injection, can also be prescribed by a licensed provider and is started once a person has stopped using opioids for a set time.
Office-based opioid treatment (OBOT) means getting buprenorphine or naltrexone from a regular medical office instead of a daily clinic, and telehealth can handle some or all of those visits.
Using medication as the core of care is sometimes called medication-assisted treatment, or MAT. There is no single best medication for everyone; you and a clinician decide together based on your history and what fits your life. If you want a plain comparison first, see how methadone and Suboxone compare.
Starting Treatment and What to Expect at Intake
The first step is usually an intake assessment, where a provider reviews your history, talks through medication options, and, when appropriate, begins treatment the same day. Bring an ID and insurance information if you have them, though many programs will help you start even if you do not.
If you have been using fentanyl, timing matters for buprenorphine: starting Suboxone too soon after fentanyl can trigger sudden, severe withdrawal (called precipitated withdrawal), so a clinician plans the first dose with you. Methadone starts at a low dose that is adjusted over the following days.
The point of treatment is to manage withdrawal safely, so you do not have to get through it on your own first. If your recent use has mostly been fentanyl, you can read more about methadone treatment for fentanyl to understand what starting looks like.
Take-Home Doses, Telehealth, and the Current Rules
Federal rules updated in 2024 expanded take-home methadone doses, up to a 28-day supply for patients who are stable in treatment, with the program deciding eligibility based on your progress.
Those rules also let treatment start by telehealth, authorized mobile medication units, and removed older barriers to getting admitted. As of July 2026, buprenorphine can be started through telehealth, including by phone in many cases, without a prior in-person visit; those telehealth rules run through the end of 2026 and are still being finalized, so confirm current options with a provider.
Methadone for opioid use disorder is still started and dispensed through an opioid treatment program, so daily dosing is common early on and take-homes are earned over time. If you are transferring to Salem or restarting after a break, ask a program about guest dosing and how quickly they can pick up your ongoing methadone treatment.
Paying for treatment in Marion County
Cost is often the first worry, so start with coverage. The Oregon Health Plan, the state’s Medicaid program, covers all three medications for opioid use disorder along with naloxone, and in Marion and Polk counties that coverage is delivered through the coordinated care organization PacificSource Community Solutions.
Private insurance and Medicare also cover MOUD, though some plans use prior authorization, so it helps to have the provider’s intake staff check your specific plan. If you are uninsured, many opioid treatment programs offer self-pay or sliding-scale fees, and some care is supported through federal block grant funding.
The listings show which providers to call, and their intake staff can tell you what a visit and medication will cost before you commit.
The Opioid Picture Around Salem, and Why Treatment Still Works
Statewide, 1,544 people died of a drug overdose in Oregon in 2024, down about 16 percent from 1,833 in 2023, the first year-over-year decline since 2016, according to the Oregon Health Authority. Most of those deaths involved fentanyl, methamphetamine, or both, and Salem’s place on the Interstate 5 corridor keeps fentanyl widely present in the local drug supply.
County-level totals for Marion County are not broken out here, so these are statewide figures. Local public health has responded: the Marion, Polk, and Yamhill county health departments run a joint awareness campaign called Friends Fight Fentanyl.
These numbers matter because medication treatment substantially lowers the risk of a fatal overdose, and it is available locally. You can read more about opioid use disorder and how treatment helps.
Reentry, Pregnancy, and Situations that Need Extra Planning
Salem is home to two of Oregon’s state prisons, and the move out of custody is one of the highest-risk moments for anyone with opioid use disorder.
A 2023 study by Oregon Health & Science University, Oregon State University, and the Oregon Department of Corrections found that formerly incarcerated Oregonians were about ten times more likely to experience an opioid overdose in their first two weeks after release than the general public.
Staying on or restarting medication right away is the strongest protection, and the Oregon Health Plan covers that care. If you or someone you love is leaving jail or prison, ask a local provider about picking up treatment immediately after release.
During pregnancy, methadone and buprenorphine are the recommended standard of care, and continuing treatment is safer than stopping medication.
Newborns may need short-term monitoring for neonatal opioid withdrawal syndrome (NOWS), which hospitals are equipped to manage, and a Plan of Safe Care coordinates support for parent and baby. Seeking treatment while pregnant is the protective step, and providers focus on health rather than punishment. Families helping someone get into care can find guidance written for them.
Naloxone and Staying Safer
Naloxone, the medication that reverses an opioid overdose, is available over the counter as Narcan and directly from pharmacies. In Oregon, pharmacists can dispense it without an individual prescription under a statewide standing order authorized by the Oregon Health Authority and the Oregon Board of Pharmacy, and the Save Lives Oregon Harm Reduction Clearinghouse supplies free naloxone through community organizations.
Oregon’s Good Samaritan law protects both the person who overdosed and the person who calls for help from arrest on drug-related charges based on what they tell responders. A return to use is common and manageable, not a failure, and it is a reason to reconnect with care. Learn the signs of an opioid overdose and how to respond.
Common Questions About Treatment in Salem
Do I have to go to a clinic every day for methadone?
Early in treatment, daily visits to an opioid treatment program are common. As you stabilize, federal rules updated in 2024 allow take-home doses of up to a 28-day supply, and the program decides when you qualify based on your progress.
How do I choose between methadone and Suboxone?
Both are effective, and the right fit depends on your history, other health conditions, and how much daily structure works for you. Methadone is dispensed through a clinic, while buprenorphine can come from an office and pharmacy. A clinician helps you weigh the trade-offs.
Can I start the same day I call?
Many Salem-area providers offer same-day or next-day intake, though it varies by program and how busy they are. Calling the listings directly is the fastest way to find out who has an opening this week.
Will the Oregon Health Plan pay for it?
Yes, the Oregon Health Plan covers methadone, buprenorphine, and naltrexone, delivered locally through PacificSource Community Solutions. If you have private insurance or Medicare, those also cover MOUD, sometimes with prior authorization.
Can I do treatment by telehealth?
Buprenorphine can be started and continued by telehealth, including by phone in many cases, under rules in effect through the end of 2026. Methadone still requires an opioid treatment program, though some visits there can be virtual. See the questions and answers for more.
About this page
Last reviewed July 2026.
Sources
- Oregon Health Authority, Oregon overdose deaths declined in 2024, 2026. https://www.oregon.gov/oha/erd/pages/oregon-overdose-deaths-declined-in-2024-2025-05.13.2026.aspx
- Oregon Health Authority, 2025 Oregon Opioid Overdose Report (data for 2024). https://www.oregon.gov/oha/Pages/index.aspx
- Oregon Health Authority and Oregon Board of Pharmacy, Opioid Overdose Reversal Medications and naloxone standing order, 2024. https://www.oregon.gov/oha/PH/RULESREGULATIONS/Documents/Oregon_Statewide_Standing_Order_To_Dispense_Naloxone_01-16-2024.pdf
- SAMHSA, 42 CFR Part 8 final rule on opioid treatment program standards, 2024. https://www.samhsa.gov/substance-use/treatment/opioid-treatment-program/42-cfr-part-8
- DEA and HHS, Fourth Temporary Extension of Telemedicine Flexibilities and buprenorphine telemedicine final rule, 2025. https://www.federalregister.gov/
- Oregon Health Authority, Oregon Health Plan coverage of medications for opioid use disorder. https://www.oregon.gov/oha/hsd/amh/pages/mat.aspx
Methadone Centers is a treatment-discovery and education resource, not a medical provider. Information here is general and is not a diagnosis or treatment recommendation; decisions about medication and care are made with a licensed clinician.
The helpline connected to this site is a paid advertising and referral service. Calls may be answered by a sponsor of Methadone Centers. It does not guarantee placement with any specific provider, and it is not a condition of receiving treatment.