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Addiction Therapists in Oregon

Oregon faces significant substance use challenges. Our listed addiction counselors and substance use specialists provide evidence-based treatment including motivational interviewing, relapse prevention, and dual-diagnosis support for co-occurring mental health conditions.

Refinement filters on Oregon Counselor Directory let you narrow results by insurance, session format (telehealth or in-person), and fee structure so you can find a licensed Oregon provider who fits your situation.

145
providers listed
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Telehealth
options
OHP & insurance
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145 providers found

Addiction also matches related terms: Sexual Addiction, Internet Addiction, Video Game Addiction, Addiction Medicine. Results below include all of them.

  1. Featured Provider Featured listings are advertising that comes with a plan. They do not change the order of the results below.

    Marlando Lewis

    Eugene Telehealth
    addiction counseling
    Photo of Marlando Lewis
    View profile
  2. Erik Lee Prescriber

    PMHNP-BCPortland, ORIn-person & Telehealth

    AddictionRelated: Alcohol UseRelated: Drug AbuseRelated: Substance Use

    Erik Lee is a UCSF-trained, board-certified psychiatric mental health nurse practitioner (PMHNP-BC) offering telehealth across Oregon and in-person care in Portland. He provides diagnostic evaluations and…

    Accepting Verified

    Fee
    $325–$550 per session
    Book

Video Introductions

Meet these providers before you reach out.

Shane Knox LMFT · Eugene, OR
Natasha Lopez LLC LPC · Portland, OR
Justine Elstad LCSW · Portland, OR

Related Articles

From Oregon providers writing about this topic.

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7-OH: What We’re Seeing in Portland Oregon at Our Addiction Treatment Clinic

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7-OH and Dual Diagnosis: Why Mental Health and Addiction Issues Often Occur Together

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Addiction in Oregon, key facts

Researched data on this topic, every figure links to its source.

Oregon

1,544 Oregonians died of a drug overdose in 2024, down from 1,833 in 2023 — the first year-over-year decline since 2016 (Oregon Health Authority, 2025 report).

Source: Oregon Health Authority (2024)

Oregon

In 2024, 62.2% of Oregon overdose deaths involved multiple substances, and about 70% of those polysubstance deaths involved both fentanyl and methamphetamine (OHA).

Source: Oregon Health Authority (2024)

Oregon

Oregon's overdose deaths fell 22% between December 2023 and December 2024 (1,480 deaths in that period), mirroring a national trend, per provisional CDC data cited by OHA.

Source: OHA / CDC (2024)

Oregon

Even as deaths fell, Oregon recorded 10,365 overdose-related ER visits and 4,193 overdose-related hospitalizations in 2024, showing demand for treatment and recovery support stays high (OHA).

Source: Oregon Health Authority (2024)

Oregon

Oregon HB 4002, signed April 1, 2024, made possession of small amounts of drugs a misdemeanor starting Sept. 1, 2024, partly rolling back Measure 110 while keeping its treatment funding.

Source: OPB (2024)

Frequently asked questions

Common questions about this coverage in Oregon.

Do I have to be ready to quit completely before starting therapy?
No. Many people start while still ambivalent. Approaches like Motivational Interviewing meet you where you are, and some providers support harm-reduction goals, not just abstinence. The hardest step is the first one — reaching out.
What's the difference between therapy and rehab for addiction?
Rehab (residential or intensive outpatient) is structured, higher-intensity care for more severe substance use; outpatient therapy is weekly support you can fit around work and family. Many people use outpatient therapy as a step-down from rehab or as standalone care for mild to moderate use.
Does Oregon's OHP cover substance use and addiction treatment?
Yes — substance use treatment is a covered behavioral health benefit under the Oregon Health Plan and most commercial plans, often without prior authorization for outpatient care. Filter this directory for OHP or your insurance to find providers.

Refinement filters on Oregon Counselors Directory let you narrow results by insurance, session format (telehealth or in-person), and fee structure so you can find a licensed Oregon provider who fits your situation.