

Syringe/Needle Exchange Services
The Needle Exchange program aims to protect public safety and community health by reducing the spread of HIV and Hepatitis C due to people sharing syringes.
The program works to keep sterile syringes accessible so that those who inject drugs or hormones do not feel a need to share their syringes and risk becoming infected with HIV, HCV, or another blood borne disease. Please see our Harm Reduction Philosophy below for concerns about the efficacy of syringe exchange.
Syringe Exchange for People Who Inject Drugs
Needle exchange services are available for individuals who inject drugs, providing new needles and accepting used syringes for safe disposal. Operating on a one-for-one exchange basis, the program also offers safer injection kits for those without used needles to trade. Sharps containers and other harm reduction supplies, such as alcohol wipes, cotton, and bandages are provided as funding allows. Additionally, a wound care doctor is available, and overdose prevention kits are distributed to help reduce risks.
Exchange events are held in multiple locations, including Eugene, Springfield, Roseburg, Grants Pass, Cottage Grove, Brookings, and more. For specific times and locations, please refer to the calendar below.
syringe pick-up
Community Syringe Drop-box Sites
- HIV Alliance Main Office: 1195a City View St.
- White Bird Clinic: 341 E 12th Ave.
- Buckley House Detox: 605 W 4th Ave.
- Springfield Library/City Hall: 225 N 5th St., Springfield
- Eugene Service Station on Hwy 99: 450 OR-99
- Washington-Jefferson Park: North corner of 6th Ave. & Washington St.
- Alton Baker Park: 100 Day Island Park (near the bathroom)
- Emergence: 1461 Oak St.
- Eugene Public Library: 100 W 10th Ave. (bathroom; CLOSED JAN. – MAR.)
- Coburg Bike Path: near 76 Gas Station (near the corner of Coburg and MLK Jr. Blvd.)
Syringe Pick-up Safety
If you come across a used syringe in our community or any other public place, do not touch it!
The syringe may be used and could be carrying viruses that can cause hepatitis C, HIV, or other blood borne diseases. If you are in Eugene or Roseburg, email HIV Alliance and we will send staff who are trained in syringe pick-up and the necessary precautions.
If possible, stay around the site until staff can arrive and encourage others to avoid touching the syringe as well.
Need someone to come pick up a used syringe? Email prevention@allianceor.org.
While we do our best to reduce and eliminate used syringes in our community, it’s impossible to be 100% successful. If there are no syringe pick-up services near you, you can follow the steps below. Keep in mind, these are safe strategies for adults only. If you are underage, find an adult and let them know of the hazard.
To pick up syringes safely, remember:
- wear needle-stick safe gloves
- use a tool to pick up the syringe(s)
- place the syringe in a sharps container (make sure sharp container is resting on level surface, not in your hand!)
- Secure lid to sharps container
- Contact HIV Alliance or take it to a dump

Nex Schedule
Needle Exchange Locations & Schedules
* no needle exchange on Saturday or Sunday
Eugene Office
1195 City View St.,
Eugene, OR 97402
NEX Times
Mondays: 10am – 2pm
Tuesdays: 10am – 2pm
Fridays: 10am – 2pm
ShelterCare
499 W. 4th Ave.,
Eugene, OR 97401
NEX Times
Mondays: 6pm – 7:30pm
Cottage Grove
The Center for Recovery
75 S. 5th St.,
Cottage Grove, OR 97424
NEX Times
Tuesdays: 5:30pm – 7pm
Eugene
3rd & Wallis,
Eugene OR 97402
NEX Times
Wednesdays: 5:30pm – 7pm
Highway 99
450 Hwy. 99
(Lindholm Center Parking Lot)
Eugene, OR 97402
NEX Times
Thursdays: 1pm – 3pm
Springfield
South 18th and A,
Springfield, OR 97477
NEX Times
Thursdays: 6pm – 7:30pm
Salem Office
3886 Beverly Ave.,
Building I, Suite 6,
Salem, OR 97305
NEX Times
Mondays: 3pm – 7pm
Wednesdays: 3pm – 7pm
Great Circle Recovery
1011 Commercial St. NE,
Salem, OR 97301
NEX Times
Tuesdays: 1pm – 3pm
Fridays: 10am – 12pm
Roseburg Office
647 W. Luellen Dr, Suite 103,
Roseburg, OR 97471
NEX Times
Mondays: 11am – 4pm
Tuesdays: 11am – 4pm
Wednesdays: 11am – 4pm
Thursdays: 11am – 7pm
Fridays: 11am – 4pm
Glendale
AllCare Clinic
101 1st St.,
Glendale, OR 97442
NEX Times
Thursdays: 1pm – 3pm
Grants Pass
Newman United Methodist Church
132 NE B St.,
Grants Pass, OR 97526
NEX Times
Mondays: 11am – 4pm
Tuesdays: 11am – 4pm
Wednesdays: 11am – 4pm
Thursdays: 12am – 4pm
Fridays: 11am – 4pm
Cave Junction
Immanuel United Methodist Church
200 West Watkins St.,
Cave Junction, OR 97523
NEX Times
Tuesdays: 12pm – 3pm
Wolf Creek
Parking Lot
420 Old State Hwy 99 S,
Wolf Creek, OR 97497
NEX Times
Tuesdays: 1pm – 3pm
Coos Bay
Harmony United Methodist Church
123 Ocean Blvd SE,
Coos Bay, OR 97420
NEX Times
Tuesdays: 2pm – 4pm
Coos Bay
Coos Health and Wellness
281 Laclair St.,
Coos Bay, OR 97459
NEX Times
Wednesdays: 2:30pm – 4:30pm
Bandon
Coast Community Health Center
1010 1st Street SE #110
Bandon, OR 97411
NEX Times
Thursdays: 8pm – 10pm
Gold Beach
94191 3rd Street
Gold Beach, OR 97444
NEX Times
Tuesdays: 10am – 1pm
Port Orford
Port Orford Library
1421 Oregon St.
Port Orford, OR 97465
NEX Times
Thursdays: 11am – 1pm
Port Orford
Coast Community Health
1332 Tichenor Ave
Port Orford, OR 97465
NEX Times
Thursdays: 2pm – 4pm
Brookings
Coast Community Health Center
648 Chetco Ave.,
Brookings, OR 97415
NEX Times
Fridays: 12pm – 3pm
Beaverton Farmers Market
12375 SW 5th St.
Beaverton, OR 97005
NEX Times
Mondays: 2pm – 4pm
Hillsboro
Project Homeless Connect
363 SE 6th Ave,
Hillsboro, OR 97123
NEX Times
Wednesdays: 11am – 1pm
Hillsboro Bridge Shelter
Parking Lot
622 SE 10th Ave.
Hillsboro, OR 97123
NEX Times
Wednesdays: 2:30pm – 4:30pm
Location
Monday
Tuesday
Wednesday
Thursday
Friday
Eugene Office
1195 City View St.,
Eugene, OR 97402
10AM – 2PM
10AM – 2PM
–
–
10AM – 2PM
ShelterCare
499 W. 4th Ave.,
Eugene, OR 97401
6PM – 7:30PM
–
–
–
–
Cottage Grove
The Center for Recovery
75 S. 5th St.,
Cottage Grove, OR 97424
–
5:30PM – 7PM
–
–
–
Eugene
3rd & Wallis
Eugene OR 97402
–
–
5:30PM – 7PM
–
–
Highway 99
450 Hwy. 99 (Lindholm Center Parking Lot)
Eugene, OR 97402
–
–
–
1PM – 3PM
–
Springfield
South 18th and A
Springfield, OR 97477
–
–
–
6PM – 7:30PM
–
Location
Monday
Tuesday
Wednesday
Thursday
Friday
Salem Office
3886 Beverly Ave.,
Building I, Suite 6,
Salem, OR 97305
3PM – 7PM
–
3PM – 7PM
–
–
Great Circle Recovery
1011 Commercial St. NE,
Salem OR 97301
–
1PM – 3PM
–
–
10AM – 12PM
Location
Monday
Tuesday
Wednesday
Thursday
Friday
Roseburg Office
647 W. Luellen Dr,
Suite 103,
Roseburg, OR 97471
11AM – 4PM
11AM – 4PM
11AM – 4PM
4PM – 7PM
11AM – 4PM
Glendale
AllCare Clinic
101 1st St.,
Glendale, OR 97442
–
–
–
1PM – 3PM
–
Location
Monday
Tuesday
Wednesday
Thursday
Friday
Grants Pass
Newman United Methodist Church
132 NE B St,
Grants Pass, OR 97526
11AM – 4PM
11AM – 4PM
11AM – 4PM
12PM – 4PM
11AM – 4PM
Cave Junction
Immanuel United Methodist
200 West Watkins St.,
Cave Junction, OR 97523
–
12PM – 3PM
–
–
–
Wolf Creek
Parking Lot
420 Old State Hwy 99 S,
Wolf Creek, OR 97497
–
1PM – 3PM
–
–
–
Location
Monday
Tuesday
Wednesday
Thursday
Friday
Coos Bay
Harmony United Methodist Church
123 Ocean Blvd SE,
Coos Bay, OR 97420
–
2PM – 4PM
–
–
–
Coos Bay
Coos Health and Wellness
281 Laclair St.,
Coos Bay, OR 97459
–
–
2:30PM – 4:30PM
–
–
Bandon
Coast Communit
Health Center
1010 1st Street SE #110
Bandon, OR 97411
–
–
–
8AM – 10AM
–
Location
Monday
Tuesday
Wednesday
Thursday
Friday
Gold Beach
94191 3rd St.
Gold Beach, OR 97444
–
10AM – 1PM
–
–
–
Port Orford
Port Orford Library
1421 Oregon Street
Port Orford, OR 97465
–
–
–
11AM – 1PM
–
Port Orford
Coast Community Health
1332 Tichenor Ave
Port Orford, OR 97465
–
–
–
2PM – 4PM
–
Brookings
Coast Community
Health Center
648 Chetco Ave.,
Brookings, OR 97415
–
–
–
–
12PM – 3PM
Location
Monday
Tuesday
Wednesday
Thursday
Friday
Beaverton Farmers Market
12375 SW 5th St.
Beaverton, OR 97005
2PM – 4PM
–
–
–
–
Hillsboro
Project Homeless Connect
363 SE 6th Ave,
Hillsboro, OR 97123
–
–
11AM – 1PM
–
–
Hillsboro Bridge Shelter
Parking Lot
622 SE 10th Ave.
Hillsboro, OR 97123
–
–
2:30PM – 4:30PM
–
–
Overdose Prevention
Naloxone (AKA Narcan)

HIV Alliance provides certified training and naloxone to syringe exchange clients, first responders, and the general public. Naloxone, also known as Narcan, is a life-saving drug that can prevent or reverse an opioid overdose.
The drug has to be administered as soon as overdose symptoms begin. Its effects are almost immediate, blocking and reversing the brain’s opioid receptor and restoring respiration to a person whose breathing has either slowed or stopped due to heroin or prescription opioid pain medications.
The drug comes in several forms. Click here for an online training on injectable naloxone and nasal spray.
For information on how to schedule a community overdose prevention (naloxone) training, contact HIV Alliance Prevention Manager Dane Zahner at prevention@allianceor.org.
Public Health Support
Harm Reduction Philosophy
Harm Reduction is a public health philosophy that seeks to empower individuals, remove barriers to accessing the support that they need, and supply pragmatic approaches to risk reduction in a non-judgmental/non-coercive way that is compassionate and accepting of any positive change. Harm Reduction supports a wide spectrum of strategies from doing the behavior more safely, to limiting certain behaviors, to abstinence. HIV Alliance is a member of harm reduction focused groups across our service region, including the Harm Reduction Coalition of Lane County.
Principles of Harm Reduction include:
- Meeting the client where they are, using programs designed for the community being served.
- Non-judgmental and non-coercive services are provided to clients in the communities and places where they are comfortable and safe in order to empower them to reduce the attendant harm.
- Accepts that drug use is part of our world and chooses to work to minimize its harmful effects on the people using drugs, rather than ignore or condemn those individuals.
- Understands that drug use and behavior change are complex and multifaceted. They include a continuum of behaviors from severe abuse to total abstinence.
- It acknowledges that some drug use methods are safer than others, and respects each individual’s drug use choices.
- Ensures that people who inject drugs and those with a history of drug use routinely have a real voice in the creation of programs and policies designed to serve them.
- Affirms that people who inject drugs are the primary agents responsible for reducing the harm from their drug use, and seeks to empower them to support each other and share information.
- Recognizes that the realities of poverty, class, racism, social isolation, past trauma, sex-based discrimination and other social inequities affect both people’s vulnerability to and capacity for dealing with drug-related harm.
- Does not attempt to minimize or ignore the real or tragic harm and dangers associated with licit and illicit drug use.

Despite evidence from many studies that needle exchange programs are highly cost-effective ways to prevent HIV and have not been found to increase drug use, harm reduction programs continue to be heavily contested here in the US and around the world. On a global basis, about $100 billion is spent annually on the war on drugs.
Research by Harm Reduction International indicates that if even as little as 7.5% of this $100 billion is redirected to harm reduction programs, by 2030 there would be 94% fewer new HIV infections among people who inject drugs.
HIV Alliance is the only agency providing comprehensive needle exchange programs in Lane, Douglas, and Josephine Counties, but we need your help to continue doing so. Please consider making a small donation today.
With each dollar, we are able to purchase 10 new syringes. It truly makes a difference. Click here and be the difference!
Board Members & Staff
Meet the dedicated individuals who lead and support HIV Alliance in our mission to empower communities and transform lives. Learn more about our board members and staff who bring expertise, passion, and commitment to our work every day.
Work at HIV Alliance
Join us in our mission to support people living with HIV/AIDS and prevent new HIV infections. Explore career opportunities and learn how you can serve your community, while advancing your career.
Annual Reports & Financials
Access our annual reports and financial statements to learn more about our organizational performance, impact, and stewardship of resources.