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​Sarah Acosta Smith, ND

Naturopathic Physician
Dr. Acosta Smith earned her BA in Kinesiology and Applied Physiology from University of Colorado at Boulder.  She was then accepted at Bastyr University and earned her Naturopathic Doctorate. 

She completed a two year residency at the Bastyr Center for Natural Health in Seattle WA , rotating through community health centers and major regional hospitals. 

​Dr. Acosta Smith practices with a focus on family medicine and women’s health. She has special interests in treating migraines, autoimmune disorders, endocrine issues, and gastrointestinal disorders.

Lela Altman, ND, FABNG, L.Ac

Naturopathic Physician, Acupuncturist
Dr. Altman earned her BS with an emphasis in Biology from The Evergreen State College in Olympia, WA in 2004 and earned her Doctorate in Naturopathic Medicine and her Masters of Science in Acupuncture from Bastyr University in Kenmore WA in 2011.

She then went on to complete a 3-year residency in Naturopathic Family Medicine at the Bastyr Center for Natural Health in Seattle, WA.  Dr. Altman's clinical interests include Mast Cell Activation Disorders (MCAS, mastocytosis), Small Intestinal Bacterial Overgrowth (SIBO), Intestinal Fungal overgrowth (SIFO/IFO) and general digestive health.

She has written articles, given continuing medical education lectures, and performed interviews in several venues on these topics. Dr. Altman has been enamored with Central Washington since her first visit in 2010. She is very excited to be able to live in this beautiful area and will enjoy spending more time in nature. ​
Location(s): Twisp Medical

Blue Bradley, CNM, ARNP

​Certified Nurse Midwife/Women's Health Clinical Director 
Graduate: Frontier School of Midwifery & Family Nursing
Undergraduate: Omak Wenatchee Valley College, Nursing Program
Specialty: Obstetrics, Women’s Health, Infant Care and Breastfeeding

​Emily Buckingham, PA-C

Physician Assistant- Certified
​ Hablo Espanol
Emily graduated from Western Washington University in Bellingham, WA in 2013 with a BS in Biology/Anthropology. She then obtained a Masters in Physician Assistant Studies at Idaho State University in Boise, ID – graduating in 2020.

Emily is a nationally board certified Physician Assistant. She is passionate about women’s health and preventative medicine.  “After growing up in a rural mountain town in Idaho, I am excited to move back to a place that is close to the mountains, and where the community has a strong sense of unity and camaraderie.

​I am excited to work for FHC, whose clinics span the Okanagan, so I am able to connect to the diversity of people who call it their home.”

​Kevan Coffey, DNP

Doctor of Nursing Practice/ Medical Director
Kevan has a doctorate degree in her Adult & Geriatric Nurse Practitioner Specialty from the University of Washington, a Master of Science in Nursing in her Adult & Women’s Health Nurse Practitioner Specialty from Yale University, and is currently a Clinical Scholars Fellow at the University of North Carolina Chapel Hill.

​Her interests include geriatrics, chronic disease management, women’s health and mental health.
“I am excited to work for a clinic with such exemplary dedication to community service and excellence in primary care. I love Okanogan County for its natural beauty, rural character, and its diverse and colorful communities.”

​Erin Cooley, MD

​Physician w/ OB
Hablo Espanol
Dr. Cooley completed her undergraduate degree at Whitworth University and medical degree from University of Washington.  She completed her residency at Swedish Cherry Hill Family Medicine. 

​Her interests are in LGBT/ gender affirming care, OB, women’s health, preventative medicine and community organizing. 

​“I’m looking forward to living in a place where I can play in the outdoors in my free time and have an impact on my community in my job.  I am grateful to be a part of an organization that is finding innovative ways to keep our community healthy.”
Location(s): Twisp Medical

​Victoria ‘Tory’ DeSalvo, ARNP

​Family Nurse Practitioner
Hablo Espanol
Victoria ‘Tory’ earned her RN degree thru the Omak Wenatchee Valley College nursing program. She went on to earn her MSN Family Nurse Practitioner at Gonzaga after earning her Bachelor’s Degree from Athabasca University. A longtime resident of Okanogan County, her hobbies are running & skiing and spending time with her family.

​“I believe access to healthcare is one of the most important basic needs we have. I love this county with its strong sense of community and beautiful wilderness.”
Location(s): Twisp Medical

Allison Fitzgerald, MD, FAAFP

​Physician w/ OB
​Hablo Espanol
Medical School: University of Connecticut
Residency: Mountain Area Health Education Center, Asheville, NC
Specialty: women’s health, obstetrics; pediatrics & chronic disease

​Kristin Hildebrandt, MD, FAWM​

​Family Medicine Physician w/ OB​
Dr. Kristin Hildebrandt grew up in rural Wisconsin. She studied Human Biology, Health, and Society at Cornell University. While attending medical school at the University of Wisconsin School of Medicine and Public Health, she participated in the Wisconsin Academy of Rural Medicine (WARM), completed the path of distinction in public health, & earned a certificate in global health. Dr. Hildebrandt completed her Family Medicine residency and Obstetric Fellowship at Tacoma Family Medicine.

In her free time, she enjoys outdoor activities. She merged her passion for outdoor activities with medicine, obtaining extra training and experience in wilderness medicine, and becoming a fellow in the academy of wilderness medicine (FAWM).

Her professional interests include Women’s Health, Pediatrics, Preventative Care and Nutrition, Acute and Chronic Illnesses including Hospital Care, Wilderness Medicine, and Rural Medicine.

“I love taking care of the whole family especially welcoming new babies into those families. I humbly strive to live a life of service and advocate for my patients. I believe it is important to listen and empower patients to help them reach their health goals.”
Location(s): Omak Medical & Pharmacy, 

Roanne Jimenez, PA-C

Physician Assistant- Certified
Roanne Jimenez is an NCCPA board certified physician assistant specializing in family medicine. She earned a Bachelor of Science degree in Cell and Molecular Biology at Kean University, New Jersey and received a Master of Health Science in Physician Assistant studies at Drexel University in Philadelphia, Pennsylvania. 

Miss Jimenez served in the 50th Chemical Company of the NJ Army National Guard for 8 years. She is a past member and an ambassador of the Garden State Louis Stokes Alliance for Minority Participation (GS-LSAMP) in STEM fields at Kean University developed by the National Science Foundation.

Miss Jimenez has a deep respect and profound appreciation for cultural traditions, music, biomedical research, food as medicine, nature, and philosophy. She believes in the perfect harmony of innovation and tradition.

Waldemar Lugo-Alvarez, MD

​Adult Internal Medicine
Hablo Espanol
Dr. Lugo joins us from Puerto Rico where he graduated from the Universidad Central del Caribe School of Medicine and completed his Internal Medicine residency at Caguas Regional Hospital.   As an internist he can diagnose and provide treatment of disease and injuries of internal organ systems.

​Dr. Lugo is experienced at handling the broad and comprehensive spectrum of illness that affect adults and considers all of your medical needs for whole body health. His excellent Spanish makes him an asset in our community. When not in clinic he enjoys tennis, biking and fishing. He looks forward to interacting with other cultures in our diverse and beautiful community.

Emily Miller, MD

​Physician w/ OB
Dr. Miller graduated high school in New Zealand. She has a BA in Genetics from Dartmouth College and went on to receive her MD from the University of Rochester School of Medicine. She completed her residency in family practice at Tacoma Family Medicine and at Rural Medicine Fellowship also in Tacoma. Her special interests include obstetrics and women’s health.
Emily is enjoys meetinging the people of this sun-drenched community and the four seasons. She believes Family Health Centers shares in her ideals of service to all of our neighbors.

Joshua Monson, MD

​Physician
Dr. Monson grew up in Olympia, WA. He obtained his BS in neuroscience at the University of Minnesota & his medical degree at the University of Washington. He completed his residency at Community Health Care in Tacoma, WA, graduating in 2023.
​Dr. Monson's special interests include LGBTQ+ care, HIV medicine, & mental health care. He has always considered Washington home & is excited to practice at FHC in the beautiful Douglas & Okanogan counties.

Ariel ‘Logan’ Rost, ND, MPH

​Naturopathic Physician
Dr. Rost earned her BA in Psychology from Salem College in Winston-Salem, NC and her MA in Anthropology (focus in Medical Anthropology) from the University of Colorado Denver. She then went on to earn her Doctorate in Naturopathic Medicine and MPH from Bastyr University where she graduated in 2020. She completed her first year of residency at the Bastyr Center for Natural Health teaching clinic in Seattle and her 2nd/3rd year of residency with Family Health Centers. 

Logan’s special interests include primary care through the lens of health of the larger community, as well as working to ensure just and equitable medical care for all. Logan is originally from rural Tennessee, so she is looking forward to being part of a smaller community and to being able to expand access to naturopathic primary care to rural communities.

​Deepkiran Singh, MD

​Resident Physician
As cliché as it gets, Deepkiran knew medicine was her calling from as early as she can remember. The seeds of interest were sown during her visits to family in India.

In India, she was able to witness first-hand the critical need for appropriate health care to meet the needs of the community. She had a strong interest in Ob/Gyn coming into medical school, but along the way fell in love with psychiatry and pediatrics during her clinical rotations.

She quickly realized how well family medicine would be able to incorporate all three and match her ambition to holistically care for patients from birth to death by developing both preventive and therapeutic long-lasting relationships. Her interests within medicine include working with under-served communities, obstetrics and reproductive health, addiction medicine, behavioral health, and global health.

She is extremely grateful and excited to be completing her full spectrum training at TFM/Omak and feels privileged at the opportunity to give back to the community that helped shape her into the person that she is today.

​Outside of medicine, she loves playing tennis, singing, dancing, gardening, baking, cooking and trying new vegetarian recipes, watching movies and tv shows, and completing all sorts of new DIY/art projects.
Location(s): Tonasket Medical

​Erin Vander Stoep, PA-C

Physician Assistant,Certified
​Hablo Espanol
Erin earned her Bachelor’s in Health Science from University of Washington Medex and her Bachelor’s in General Studies from Evergreen State College. Her interests include women’s health, working with youth and holistic medicine. She loves to spend her off time in the woods, biking or gardening.

​“I grew up in Okanogan County and look forward to raising my son here and getting back to small town life. I appreciate the down to earth people and the wonderful access to our amazing recreational opportunities.”
Location(s): Brewster Clinic & Pharmacy, ​

 Cierra Sullivan, ND, L.Ac, MS 

Naturopath Resident
​​Dr. Sullivan spent her childhood in rural Colorado and obtained a Bachelor's degree in Molecular Cellular and Developmental Biology from the University of Colorado at Boulder. She furthered her education with a Master's degree in Nutrition and Metabolism from Boston University School of Medicine. In 2024, she completed her Doctorate in Naturopathic Medicine and a Master's in Acupuncture from the National University of Natural Medicine in Portland, OR.

Dr. Sullivan is excited to return to a rural setting for her residency with FHC, where she aims to improve access to Eastern and Western medical practices. When she's not working, she enjoys exploring backcountry trails, savoring coffee, and spending time with her pet, Oliver.
Location(s): Tonasket Medical & 
Omak Medical & Pharmacy

Abraham 'Abe' Velasco Bustamante,PA-C 

Physician Assistant, Certified 
​Hablo Espanol
​​Abraham (Abe) Velasco earned his undergraduate degree from the University of Colorado and then attended the University of Washington’s MEDEX Physician Assistant Program, where he received his Master of Clinical Health Services degree.  Abe has a strong interest in behavioral medicine, chronic disease management, men’s health, and substance use and recovery medicine. As a fluent Spanish speaker and a Mexican immigrant, he values culturally competent care and forms a deep connection with his patients.   Abe did his primary care rotation at Family Health Centers and experienced the team’s compassion and dedication. He also served 14 years in the Army National Guard as a combat medic.  He and his wife were excited to return, raise their children, and build their future in the community that shaped him.  For Abe, his patients are more than just names on a chart—they are his neighbors, friends, and family. Giving back to the community that shaped him is not just a privilege; it is a calling.

James Ton, DO

Resident Physician
​James immigrated from the bustling Saigon downtown to the quiet Seattle suburbs when he was in grade school. He earned his BS in Biology from UW Bothell. After college he started his freelance medical interpreting service for patients with limited English in the Puget Sound area where he found his inspiration to become a physician.

​James believes in empowering people to take ownership of their health by focusing on matters that can be addressed. His ideal family practice would include preventative medicine, nutrition, osteopathic manipulative therapy, physical wellness, mental health, spiritual wellbeing, and meeting the special health needs of the local community.

​James loves to cook with his wife and daughter, explore the outdoors of the NW, and try new restaurants and coffee shops.
Location(s): Tonasket Medical

​Helen Walker, MS, RN, FNP-BC

​Family Nurse Practitioner
Helen earned her Master of Science from the University of California, San Francisco (UCSF) and her Bachelor’s degree from Western Washington University. She completed her clinical training at a number of specialty clinics and community health centers, including a longitudinal rotation at Zuckerberg San Francisco General Hospital. 

Prior to becoming a Family Nurse Practitioner, Helen worked for the World Trade Center Health Program and Occupational Health Clinic in New York City. S he has a background in global health and worked in rural Ethiopia for several years.  Helen is an advocate for accessible preventive and primary care services.

​Her special interests include environmental and farmworker health, women’s health, adolescent health, chronic disease management and mental health. Outside of the clinic, she enjoys hiking, cross-country skiing, gardening and spending time with her husband and family.

​“I am very much looking forward to partnering with patients and colleagues to meet the health needs and goals of this vibrant, strong and welcoming community.”
Location(s): Twisp Medical

​James Wallace, MD, MPH, FAAFP

​Physician w/ OB
Hablo Espanol
Dr. Wallace is a family physician with a love serving entire families and helping patients through the many joys and challenges of life. He has additional training in obstetrics and public health.  He attends deliveries and provides inpatient care at Mid Valley Hospital in Omak.  

Dr. Wallace received his Masters in Public Health through the department of Health Behavior and Health Education at the University of North Carolina and attended medical school at the University of North Carolina School of Medicine. He completed his residency in Family Medicine at UNC Hospitals, where he served as Chief Resident and focused on improving quality of care for rural, immigrant and refugee communities. After residency he worked for a short time in Western Washington and then volunteered for Alam Sehat Lestari in the rainforests of Indonesian Borneo. He returned to Washington in 2011, completed a year-long Fellowship in Advanced Obstetrics at Swedish Medical Center in Seattle, and began work with Family Health Centers in 2012.
​
 “It is a privilege to live and work in north central Washington, to care for diverse and resilient patients who work hard to improve their lives and support their families, and to make our healthcare system better for them. I am fortunate to have the best coworkers on the planet. Our clinic teams go out of their way to ensure patients receive compassionate, high quality and personalized care. When not working I enjoy running, biking, paddling and skiing all over Okanogan County with my family, and considering how we can contribute to a community that reflects our scenery.”

Nicole Werner, DO

​Physician
Dr. Werner earned her Master of Sciences in Biomedical sciences at the University of Missouri. She went on to become a Doctor of Osteopathic Medicine at Kirksville College of Osteopathic Medicine in Missouri. Nicole has a particular interest in Women's Health and Obstetrics.
When she's not working, Dr. Werner enjoys spending time outdoors and bonding with her pets. She's also enthusiastic about learning how to work on vehicles.