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About

Summary: The Puyallup Tribal Health Authority (PTHA) provides comprehensive health services to eligible American Indian and Alaska Native residents in Pierce County, Washington. Based in Tacoma, PTHA operates an ambulatory medical and dental facility on the Puyallup reservation under P.L. 93-638 authority, modeled after IHS health centers. Services include medical, dental, pharmacy, and behavioral health, with additional programs for dental lab, outreach, mental health, WIC/well-child, and nutrition. Inpatient and specialty referrals are available through the Managed Care Service under the same authority. PTHA employs about 100 staff and generates around $25.7 million in annual revenue.

Clinic Type

Behavioral Health

Address

2209 E 32nd St E, Tacoma, Washington 98404, US

Phone

(253) 593-0247

Email

referralservices@eptha.com

Opening Hours

Not published — contact the clinic to confirm hours.

Emergency Care

Call 988 for emergency assistance; Native Strong resources available

Services Offered

  • Behavioral Health
  • Addiction Treatment
  • Mental Health Treatment
  • Behavioral Health & Wellness

Team

  • kʷaxʷačiʔ (Kwawachee) Behavioral Health & Wellness — Program / Behavioral Health & Wellness

Insurance & Payment

Languages Spoken

FAQs

What is kʷaxʷacčiʔ (Kwawachee) Behavioral Health & Wellness?

kʷaxʷacčiʔ means “helping hands” in Twulshootseed and represents Behavioral Health & Wellness services.

How can I reach support for mental health, problem gambling, or substance use disorder?

Call (253) 593-0247.

What is Native Strong and how can I access it?

It refers to culturally connected crisis resources; call 988, option 4; Text N8V to 988; Chat at nativelifeline.org.

Photos

What Patients Say

Overall sentiment across review platforms: mixed

  • Rehab.com: 4.2 out of 5 stars (79 reviews)

Patients praise

  • Appreciation for specific staff members who go above and beyond for patients
  • Culturally relevant care where patients feel respected, listened to, and comfortable

Common complaints

  • Administrative issues, including scheduling difficulties and being placed on long holds
  • Concerns regarding communication with staff and professional conduct
  • Issues with prescription refill processes

"PTHA is the only clinic that I have been to where I feel respected, comfortable, listened to, and where clients look similar to me, and all the staff are so..."

Puyallup Tribal Health Authority website

"She was absolutely amazing when I needed help getting my son into rehab. She wasn’t sure what we needed to get him approved, but she found out on the spot and ensured it was taken care of thru the tribe."

Rehab.com review

"My husband constantly has issues with prescription refills, and the staff seem like they don't know what is going on half the time. When you ask questions your met with a “mater-of a fact condescending tone” followed by being hung up on."

Rehab.com review

Synthesized from public review platforms as of Jul 11, 2026 — sources: [1][2][3][4].

Information sourced from the clinic's website as of July 11, 2026.

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