The mission of the Northwest Tribal Comprehensive Cancer Program is to envision and work toward cancer-free tribal communities by taking an integrated and coordinated approach to cancer control. In collaboration with 43 Northwest tribes, the Northwest Tribal Cancer Control Project is implementing strategies that will reduce the cancer burden for American Indians and Alaskan Natives in the Northwest.

The Northwest Tribal Comprehensive Cancer Program serves the 43 federally recognized tribes in Idaho, Oregon, and Washington.


  • Facilitate a process for Northwest tribes to promote cancer risk reduction strategies.
  • Provide information on the most current early detection, screening and treatment practices through education and resource materials.
  • Provide education regarding quality of life for cancer patients, their families and caretakers.
  • Coordinate and collaborate with local and national cancer organizations and individuals.
  • Improve Indian-specific cancer control data.
Kiki Colon


New Materials!

Check out our new Breast Cancer materials by clicking on our “Resources” tab below!







Check out our new Sun Safety Policy Guide for Tribal Schools and Communities by clicking on our “Sun Safety” tab below!

Learn how to implement sun safety policies with editable templates from the Resource Guide, a companion to the Sun Safety Policy Guide!


New Lung Cancer Awareness Month Social media graphics!

Download and share now from the “Tobacco” tab below!


NEW Colorectal Cancer Video from the Northwest Tribal Comprehensive Cancer Program

Minigrants Flyer Photo Front Page
Check out our "Local Cancer Implementation Funds" tab below for more information about community cancer control funding!

Cancer Survivorship Survey

Help us improve our cancer survivorship interventions!

If you are a Tribal healthcare provider or a cancer prevention advocate serving our Tribal communities in the Northwest we want your help!

The Northwest Tribal Comprehensive Cancer Program has developed a brief, 10-minute survey focused on cancer survivorship issues.

Your feedback will help our program implement targeted cancer survivorship interventions that better support your communities!

This survey is anonymous and, of course, voluntary.

Cancer Survivorship Survey for Northwest Tribal Healthcare Providers and Cancer Prevention Advocates:

If you have any questions you may email Project Director Kerri Lopez at

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In 1999, the NPAIHB was the first Tribal organization to receive a CDC Comprehensive Cancer Grant. The Northwest Tribal Comprehensive Cancer Control Project (NTCCP) was the first program to form a tribal cancer coalition covering multiple states, develop a tribal comprehensive cancer plan, design a tribal behavioral risk factor survey, and collaborate with a wide network of partners including federal, state, academic, non profit, and private industry partners.

The NTCCP provides technical assistance to tribes on tribal action plans for local cancer activities, resource information, cancer data and cancer education training through a variety of venues including the Clinical Director’s Update, Cancer 101, and Risky Business. NTCCP also participates in tribal health fairs, events, conferences, and trainings.

Since 1998, the Northwest Tribal Comprehensive Cancer Program (NTCCP) has worked to reduce the burden of cancer affecting Northwest tribal  communities. This daunting task was tackled using an integrated and coordinated approach to cancer control, bridging prevention, screening and early detection, diagnosis, treatment, survivorship, and end of life care.


The Northwest Tribal Cancer Control Twenty Year Plan – Working Toward Cancer-free Tribal Communities

The Northwest Tribal Cancer Coalition meets regularly with tribal and other comprehensive cancer control partners to address:

  • Cancer prevention and control by building partnerships.
  • Provide a forum for networking and sharing new information on resources, screening, educational, clinical, and policy updates.
  • Empower Tribal communities that have the ability to influence public policy and effect change.
  • Provide National, regional, state and local cancer data, research, and evaluation tools for making decisions about cancer prevention and control.

Provide technical assistance in tribal action plan development to help promote local activities in screening, prevention, and education activities in tribal communities.

Provide cancer education training through a variety of venues including the Clinical Director’s Update, Cancer 101, Risky Business and coalition meetings.

Provide resource information to tribal communities on cancer related issues.


Project activities are funded by Cooperative Agreement No. U58 DP003935-05 of the Centers for Disease Control and Prevention.

Downloadable Social Media Graphics for Lung Cancer Awareness Month

Pregnancy and Smoking Native American Women.
Stats on AI/AN Women Smoking During Pregnancy Rates

Tool Kit for Clinicians: Helping Pregnant Women to Quit

Pregnancy, patch, lozenges, and safety

Pregnancy and Smoking Marijuana

AI/AN stats on Smoking

Commercial Tobacco Facts

AI/AN Tobacco Implementation Survey

Policy planning in tribal communities

Tobacco Prevention AI/AN

Tobacco Cessation

Clinical Training

Self Help Programs

Tribal Tobacco Resources

Community training

Children and second hand smoke AI/AN

Videos and brochures

Traditional Tobacco


Media Campaign

Sun Safety Policy Guide for Tribal Schools & Communities

Sun Safety Resource Documents: A Companion to the Sun Safety Policy Guide
Sun Safety Policy Guide for Tribal Schools and Communities





















Sun Safety Poster

Download and print as an A4 large poster

Appointment Companion

GW Cancer

Resource Guide

Cancer Survivorship Tools for Healthcare Professionals

NPAIHB Breast Cancer Instagram Post
NPAIHB Cervical Cancer Poster
NPAIHB Cervical Cancer Facebook Post

Colorectal Cancer Infographic

NPAIHB CRC Infographic 2021
NPAIHB CRC Infographic
NPAIHB Breast Cancer Poster
NPAIHB Breast Cancer Facebook Photo

Cervical Cancer Infographic

NPAIHB June Cancer Survivorship Month
NPAIHB Breast Cancer Twitter Post
NPAIHB Cervical Cancer Twitter Post
NPAIHB Cervical Cancer InstagramPost

GW Cancer


2015 Cancer Fact Sheets

2011 Cancer Fact Sheets

2009 Cancer Fact Sheets

  • Portland Area (Idaho, Oregon, and Washington)
  • Idaho
  • Oregon
  • Washington

The Northwest Tribal Comprehensive Cancer Program is requesting grant applications from NPAIHB member Tribes.

This grant will fund $5,000 to support the implementation of Tribal Cancer Action Plans.

The request must align with one of our cancer plan objectives, which can be found in the “Application Instructions” document*.

*Click on the links below to open each document:

Application Instructions and Background

Action Planning Worksheet

Example Application

Example Action Planning Worksheet

Report Template

This year we have some extra funding to support cancer survivorship activities if this is something your program and/or tribe would like to focus on.

You may submit an ADDITIONAL application for up to $5000 for cancer survivorship activities. See Application for more info.

The applications may be submitted through April 29, 2022. Those applications received sooner will be considered first.

We are encouraging everyone to use the PSE (Policy, Systems and Environment) change framework within their activity implementation to best support activities within your Tribe/community.

We look forward to hearing from you. Please feel free to contact us if you have any questions.

Kerri Lopez (Tolowa Tribe)
Director, NW Tribal Cancer and Western Tribal Diabetes Projects
NPAIHB “The EpiCenter”
2121 SW Broadway, Suite 300
Portland, OR 97201

Thomas M. Becker, MD, PhD, Medical Epidemiologist

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Photo of the NTCCP 25 year anniversary celebration at Yellowhawk Tribal Health Center
Attendees at the 2019 Northwest Tribal Clinicians' Cancer Update in Portland, Oregon
Northwest Tribal Clinicians' Cancer Update 2019, Portland, Oregon
Northwest Tribal Cancer Coalition members and cancer survivors being honored at the 25 year NTCCP Anniversary

More NPAIHB Programs