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Harm Reduction in Washington

Washington authorizes syringe service programs statewide, and they operate in most counties through local health departments and organizations like Willapa Behavioral Health and King County Public Health. Naloxone is available under a statewide standing order signed by the state health officer, and Washington law (RCW 69.41.095) lets anyone carry and administer naloxone if they might witness an overdose, regardless of training. The state's 911 Good Samaritan law (RCW 69.50.315) protects both the person who calls for help and the person overdosing from prosecution for drug possession. A 2024 law, House Bill 2112, specifically requires public colleges and universities to make free naloxone and fentanyl test strips available to students, on top of the broader availability of test strips through community harm reduction programs.

The Washington State Department of Health coordinates the statewide response through its Opioid and Overdose Response Plan, organized around four goals: preventing opioid use disorder, identifying and treating it, preventing overdose deaths, and using real-time data to guide where resources go. The Washington State Project to Prevent Prescription Drug/Opioid Overdose (WA-PDO) is the network that turns that plan into action on the ground, training communities and expanding naloxone access county by county.

Because implementation runs through county and local health departments rather than a single statewide program, a county public health department's own website is usually the fastest way to find a specific syringe program or naloxone source nearby.

Last reviewed September 2026 by Penny Beach, PRS.

Harm Reduction Agencies in Washington

Recently added agencies in Washington

Blue Mountain Heart to Heart – Pasco

412 W Clark St, Pasco, WA, 99301 Directions

509-529-4744

Narcan/Naloxone Syringe Services Program

Hours

Fridays 10:00am-2:00pm

bluemountainheart.org/

View Details Last updated Sep 22, 2026

Community Org

The People’s Harm Reduction Alliance (PHRA)

1415 NE 43rd St, Seattle, WA, 98105 Directions

2533133362

Narcan/Naloxone

www.phra.org

View Details Last updated Sep 21, 2026

Health Department

Northeast Tri County Health District (NETCHD)

141 N. Clark Ave Suite 1, Republic, WA, 99166 Directions

5095638016

Narcan/Naloxone

www.netchd.org

View Details Last updated Sep 21, 2026

Yakima County Syringe Exchange Program

E Adams St & 3rd St, Yakima, WA, 98901 Directions

509-249-6546

Narcan/Naloxone

yakimacounty.us/289/HIVAIDS-Services

View Details Last updated Sep 21, 2026

Health Department

Whatcom County Health Department Syringe Exchange

1500 N State St, Bellingham, WA, 98225 Directions

360-778-6118

Narcan/Naloxone

whatcomcounty.us/869/Syringe-Services-Program

View Details Last updated Sep 21, 2026

Health Department

Thurston County Public Health Syringe Exchange

1000 Cherry St SE, Olympia, WA, 98501 Directions

360-490-9155

Narcan/Naloxone

co.thurston.wa.us/health/

View Details Last updated Sep 21, 2026

South King County Mobile Medical Unit

220 4th Ave S, Kent, WA, 98032 Directions

206-915-4809, (206) 549-5562

Narcan/Naloxone

kingcounty.gov/depts/health/locations/homeless-health/mobile-medical-care.aspx

View Details Last updated Sep 21, 2026

Phoenix Recovery Services Syringe Exchange

60155 WA-20, Marblemount, WA, 98267 Directions

360-848-8437 ext. 319 / 800-840-1583

Narcan/Naloxone

phoenixrecoveryservicesllc.com

View Details Last updated Sep 21, 2026

View All 101 Agencies in Washington

Showing 8 recently added agencies in Washington out of 101 total — search a city above to narrow it down

What is Harm Reduction?

Harm reduction is a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use. It is also a movement for social justice built on a belief in, and respect for, the rights of people who use drugs.

Meets people where they are without judgment

Reduces fatal overdoses through naloxone access

Prevents disease transmission through syringe services

Provides pathways to treatment when people are ready

Recognizes abstinence is not the only measure of success

Learn More

Find a Harm Reduction Agency Near You

Find Harm Reduction Services in Washington

Harm Reduction in Washington

Harm Reduction Agencies in Washington

Blue Mountain Heart to Heart – Pasco

The People’s Harm Reduction Alliance (PHRA)

Northeast Tri County Health District (NETCHD)

Yakima County Syringe Exchange Program

Whatcom County Health Department Syringe Exchange

Thurston County Public Health Syringe Exchange

South King County Mobile Medical Unit

Phoenix Recovery Services Syringe Exchange

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