Pacific Northwest Adult & Teen Challenge

Get Help with Addiction

Are you or a loved one ready to take a step towards recovery and rehabilitation from drug or alcohol addiction?

Begin The Recovery Program Intake Process

You can get in touch with one of our intake specialists in any of the following ways. We are here to help.

Call Our Intake Hotline

877-302-7149

We know you have questions. We are here to answer them.

Click to Call

Start The Intake Process

Download an Application

Download and fill out this PDF file to begin the intake process.

Download Application

Medical History Form

Need To Discuss Your or a Loved One’s Addiction?

Invite a Recovery Intake Coordinator to Contact You

We are experienced, compassionate, and will treat your situation with dignity.





First and Last name (required)

Your Email (required)

Your Phone Number

Your Mailing Address

City, State ZIP code

Best Contact Time

Best Contact Method

Location Preference

Marital Status

Are you currently under legal supervision?

Are you on probation or parole?

Are you currently under legal supervision?

Have you ever been convicted of a sexual offense?

Any pending court dates?

Are you receiving any financial assistance?

Are you a member of a church or religion?

Are you dealing with any psychological issues?

Please provide any information that might be helpful for us to know about your situation


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Hope NW provides Recovery, Humanitarian, and Treatment services to the Pacific Northwest, operating in five states with global partners. We put Hope within reach, because people matter.
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Recovery

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Pacific Northwest Adult & Teen Challenge provides services for recovery from drug and alcohol addiction.

Humanitarian

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BPM focuses on Mobilization, Relief, & Transformation for populations in the margins, Because People Matter.
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Treatment

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Life Renewal provides licensed outpatient treatment for men and women seeking recovery services who cannot receive residential long term services.

Regional Office | 6902 SE Lake Rd Ste 300, Milwaukie, OR 97267 | 971-255-0658

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