Sauk-Suiattle Tribe

The goal of the Sauk-Suiattle Indian Tribe Health and Social Services Department is to provide health care, social services, drug and alcohol prevention, aftercare rehabilitation, and alcohol counseling to children, youth, adults, and elders of the community in a manner that reflects cultural beliefs.
The priority is to create safe and healthy paths to bridge the differences between the Sauk Suiattle culture and the majority culture. Sauk-Suiattle Logo 2010
Through the provision of these services, and maintaining a congruency between culture and the regulating standards, we will move towards self sufficiency, provide the continuity to link our generations, and promote the growth of a strong people.

The clinic has 611 SF and is owned and operated by the Tribe. The Tribe’s Contract Health Service Delivery Area (CHSDA) is Snohomish and Skagit Counties. The Tribe operates a small outpatient clinic with a public health nurse that provides direct medical care four days per week. Additional medical care is available via a “fee for service” contract, with the Darrington Health Clinic. The Tribe also operates programs: elder care, alcohol/substance abuse, mental health and social services and youth intervention services. The Tribe does not bill Medicare or Medicaid. Programs are operated under a P.L. 93-638, Title I contract with the IHS.

Sauk Suiattle Indian Tribe Departments of Health and Social Services, in Darrington, WA, provides substance, drug and alcohol treatment programs with a combined focus on mental health services as well as substance abuse rehab. This addiction treatment center also provides programs specifically for teen rehab and dual diagnosis treatment. This treatment facility offers a combined nine services and payment methods including: two extra services or special programs: criminal justice and DUI/DWI Treatment;
one housing program option: outpatient;
six payment methods: Access to Recovery Vouchers, private insurance, military insurance, self pay, state financed and Medicare.

The treatment center provides outpatient care. There are special groups and programs for persons with co-occuring mental and substance abuse disorders, DUI and DWI offenders, and criminal justice groups. No special language services are available. Payments via medicaid, state financed insurance, medicare, private insurance, military insurance, and access to recovery voucher are accepted. Payment assistance is offered by way of case by case basis (check with facility for specifics).


Sauk-Suiattle, or Sah-Ku-Me-Hu, is a federally recognized Native American tribe in western Washington state in the United States.

The reservation was created by the Point Elliott Treaty of 1855. A sub-chief signed this treaty after the chief refused to cede historical territory to the European Americans. In 1884, their village at Sauk Prairie, which had eight traditional cedar longhouses was destroyed by European settlers seeking homestead land. Some tribe members moved to the Swinomish Indian Reservation; like the Tulalip Reservation, it had people from many neighboring Coast Salish tribes.

An executive order of September 9, 1873 clarified the northern boundary and added 59.73 acres establishing the 7,448.80-acre reservation. Under the Point Elliot Treaty, the Sauk-Suiattle has fishing rights on the rivers. They are a member of the Skagit River System Cooperative together with the Swinomish. Many of the people moved around various areas in Puget Sound seeking employment. They came into conflict with white settlers because of land. In 1884 three quarters of Indians on the reservation were engaged in farming, logging, and milling.

In the mid-19th century, the tribe clustered in a nearby village alongside the confluence of the Sauk and Suiattle rivers that boasted eight cedar longhouses and 4,000 members. Like that of many tribes of the region, its life revolved around the water. Its members fished and plied the rivers in hand-built canoes. And also as with so many tribes, white settlers confiscated their land. The Sah-ku-mehu people, as they were then called, scattered, some fleeing to other tribes’ reservations. By 1924, the tribe could count only 18 members. In 1946, the Sauk-Suiattle established a separate tribal entity; they applied through the administrative process with the Bureau of Indian Affairs (US Department of the Interior) and was federally recognized as a tribe in 1973. Their written constitution was approved by the Secretary of the Interior in 1975.

Tribal membership numbered around 4,000 before 1855, and by 1924 the numbers had dwindled to 18 members. Residents in the Sauk Suiattle Indian Reservation are the surviving descendents of the original peoples who lived in this special valley. The current membership numbers approximately 200 individuals.
They lived along the Sauk and Suiattle rivers, tributaries of the Skagit River. The Tribe fished for salmon, a staple in their diet, in the Sauk, Suiattle, and Cascade Rivers by using gaff hooks, spears, and net and fish weirs. The Tribe also hunted game and gathered wild berries and roots. Like many of the coastal tribes the Sauk-Suiattle built permanent winter homes from split red cedar planks. The Tribe elects a seven member Tribal Council to staggered three-year terms. The Sauk-Suiattle Tribe has a constitution, by-laws, fishing, and election ordinance and law and order code. The Reservation consists of two parcels in Skagit and Snohomish Counties with a total of 23 acres.


The tribe historically lived along the banks of the Sauk, Suiattle, Cascade, Stillaguamish, and Skagit rivers, in the area known as Sauk Prairie at the foot of Whitehorse Mountain in the North Cascade Range.

The Sauk-Suiattle Indian Reservation is in this area, centered near the present-day town of Darrington. It lies in two non-contiguous sections: the largest (48°19′16″N 121°32′59″W) is in southern Skagit County, comprising 33.5 acres, or 73.5 percent of the reservation’s total land area and all of its resident population of 45 persons (2000 census); the smaller section (48°17′25″N 121°32′36″W), in northern Snohomish County, has a land area of 12.1 acres and no resident population.

Their historic territory was from as far north as the Fraser River, as far south as what nowadays is Highway 2, as far east as the Salish Sea, and well in to Eastern Washington. Whitehorse Mountain of the North Cascades. Homestead land where most of the houses were is in Sauk Prairie, there were four(4) houses near what is now Rockport area, and some houses near what is now known as Trafton, near Arlington. A few houses are near what is now known as Granite Falls. They made their livelihood in the mountains and had trading relations with tribes east of the Cascades, as well as making trips downriver to other communities on Puget Sound.

Native Language

The Sauk-Suiattle Indian Tribe is a Puget Sound Salish speaking group. The Sauk-Suiattle language (Lushootseed) belongs to the Salishan family of Native American languages; dialects of Lushotseed have traditionally been spoken by several Salishan groups. Several of these languages are endangered, as speakers are a decreasing number of elders.


The tribe stands as one of the area’s biggest employers. The reservation despite its small size boasts a multi-million dollar budget.

The tribe also operates a smokeshop and a country store through its economic development group.

Principal industries: Transportation equipment (Boeing), wood products, food processing, electronics.


They elect seven Tribal Council members for three-year terms on an alternating schedule. They also elect the chairman and vice-chairman.


Fast Info

Tribal website:
Administration Phone: (360) 436-0131
Clinic website:
Clinic Phone: (360) 436-2210

Contact Information

Sauk-Suiattle Tribe
Sauk-Suiattle Tribal Community Clinic
5318 Chief Brown Lane
Darrington WA 98241
Phone: 360-436-1124
Fax: 360-436-0242
IHS Contract Health Services
Sauk-Suiattle Tribe CHS – IHS
1220 SW 3RD Ave., #476
Portland, OR 97204
Phone: 503-326-2026

Member Tribes

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