Serving tribes in Oregon, Washington, and Idaho, the Northwest Portland Area Indian Health Board (NPAIHB) was created in 1972 to increase tribes’ ability to exercise control over the design and development of tribal health care delivery systems. Governed by tribal government delegates, NPAIHB facilitates intertribal coordination and promotes intergovernmental consultation. A leader in data collection and advocacy, NPAIHB also administers the first and largest tribal epidemiology center.