- Resolutions Committee
- Personnel Committee
- Public Health Committee (Ad Hoc)
- Behavioral Health Committee (Ad Hoc)
- Youth Committee (Ad Hoc)
- Elders Committee (Ad Hoc)
- Veterans Committee (Ad Hoc)
Welcome to the Northwest Portland Area Indian Health Board website. You will notice that we are engaged in many areas of Indian health, including legislation, health promotion and disease prevention, as well as data surveillance and research. Our strengths include an active board, talented staff, and a forward thinking organization. We know that there is much work to be done to improve the health status in Indian Country, but we do not shy away from the challenge.
Established in 1972, the Northwest Portland Area Indian Health Board (NPAIHB or the Board) is a non-profit tribal advisory organization serving the forty-three federally recognized tribes of Oregon, Washington, and Idaho. Each member tribe appoints a Delegate via tribal resolution, and meets quarterly to direct and oversee all activities of NPAIHB.
NPAIHB Delegates create and update a strategic plan, which contains four main functional areas:
NPAIHB houses a tribal epidemiology center (EpiCenter), several health promotion disease prevention projects, and is active in Indian health policy.
The Executive Director (E.D.) is responsible for all staff and programs at NPAIHB and answers directly to a five person Executive Committee, composed of the elected officers of the Board. A four person Management Team consists of the Executive Director, Administrative Officer, EpiCenter Director, and Information Technology Director. The Team acts in an advisory capacity to the E.D., assists in the research and development of organizational policy and practices, and is a liaison between the E.D. and staff. NPAIHB’s Strategic Plan maps its priorities, organizational values, mission, and health issues and concerns. Please see the organizational chart for the managerial structure of the Board. NPAIHB collaborates with the Indian Health Service (IHS), federal and state agencies, universities, and private organizations. The Finance Department assists Project Directors in monitoring program budgets. Personnel in each program prepare and report progress and activities to the Board Delegates at Quarterly Board Meetings.
The purpose of NPAIHB’s Strategic Plan is to provide guidance in the operation and execution of its mission. The Strategic Plan illustrates the Board’s mission, values, vision, and expectations. Its goals and objectives serve as a roadmap for NPAIHB’s daily operations and assists it in addressing Northwest tribal identified community health needs. Delegates and Board staff update the Strategic Plan every five years.
Broadway OfficeThe NPAIHB administrative office is located in downtown Portland, Oregon adjacent to the Portland State University campus and less than a mile from the Oregon Health & Science University’s main campus. The NPAIHB office is also conveniently located approximately two miles from the Portland Area Indian Health Service office, and is within five miles of the Bureau of Indian Affairs office. It is easily accessed via freeway or light rail. The 16,000 sq. ft. office facility is equipped with high-speed internet access and other equipment selected with consideration of environmental impact; it has a fully operational local area network (LAN), wireless access, a comprehensive website with weekly postings of announcements and information related to Board concerns and a computer integrated phone system. An electronic records training room accommodates 24 students per session. An open floor plan is complemented by 6 meeting rooms of various sizes.
The finance department is staffed by an Accounts Payable Specialist, a Business Manager, and a Fund Accounting Manager, and is under the supervision of the Administrative Officer. A Grants Administrator works closely with the Fund Accounting Manager in setting and reviewing budgets with project directors. All purchases are pre-authorized; payments are processed utilizing forms that code for the funding source. A Manager certifies the availability of the required funds and the Executive Director or Administrative Officer approves the purchase. The Board utilizes a software accounting system that meets the informational and reporting requirements of the NPAIHB and its funders. Payroll is processed electronically through a payroll contractor. The Board complies with the annual external audit requirement of the federal Office of Management and Budget (OMB) circular on Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards. A budget report is presented to the Board Delegates at their quarterly meetings; Delegates also review and approve the annual audit report.
The Board is staffed with approximately 100 individuals, the majority of whom have BA/BS or advanced degrees and training to meet the needs of diverse activities provided to the tribal health programs of the 43 NPAIHB member tribes. The EpiCenter has four core purposes: Administrative, Data Management/Analysis, Training, and Research.
From early in the history of the NPAIHB, the Northwest Tribes recognized that data, surveillance, and research were central to building awareness about health disparities afflicting American Indians and Alaska Natives. The Northwest Tribal EpiCenter has successfully engaged Northwest tribes in collaborative research and surveillance activities and, as a result, serves as an essential resource for these tribes for tribal health data and health information services support, including capacity building. All data from such activities belong to the tribes involved in the research. In addition, the NPAIHB hosts the Portland Area IHS Institutional Review Board (IRB), which oversees protection of human subjects in research occurring in Northwest Indian communities.
Over 190,000 American Indians/Alaska Natives reside in Oregon, Washington, and Idaho, representing 6.3 percent of the United States
In 1972, several Northwest tribal members recognized the need to exercise control over the design and development of health care delivery systems in their local communities. Today, every federally recognized tribe in Oregon, Washington, and Idaho serves as a Delegate to NPAIHB. Many Delegates also serve on their tribe’s council.
The NPAIHB Executive Committee is comprised of a Chair, Vice Chair, Secretary, Treasurer, and Sergeant-at-Arms. The Executive Committee approves the Quarterly Board Meeting agendas, approves Executive Committee resolutions, develops and refers policy issues to the entire delegation for approval, reviews and monitors NPAIHB financial matters, represents NPAIHB at regional and national meetings, and is the direct supervisor to the Executive Director.
| NPAIHB Executive Office |
Name |
Tribal Affiliation | Term Expiration |
| Chair | Aaron Hines, Yellowhawk CEO | Confederated Tribes of the Umatilla Indian Reservation |
January 2026 |
| Vice Chair | Chair Greg Abrahamson | Spokane Tribe of Indians | January 2027 |
| Secretary | Chair Cheryle Kennedy | Confederated Tribes of Grand Ronde |
January 2026 |
| Treasurer | Secretary Rachel Edwards | Nez Perce Tribe | January 2027 |
| Sargeant-at-Arms | Kim Coombs, Shaolwater Bay THD | Shoalwater Bay Indian Tribe | January 2027 |

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