For Your Health by Statesman Journal

health for your

September 2013

New Health Care Choices

Cover Oregon Organic or Natural We have an

App For That! MEDICAL DIRECTORY OVER 300 DOCTORS, SPECIALISTS, DENTISTS, CHIROPRACTORS & PHYSICAL THERAPISTS AT YOUR FINGERTIPS

Dealing

with Childhood

Depression

Every day at Salem Health, we are part of memories in the making. Whether those memories are joyful or sad, full of hope or shadowed by fear, we can be certain of one thing…

Life’s moments happen here. Friendships form “Some things will never be the same, but you can grow from where you are.”

Families grow Amanda

“It’s such a whirlwind of emotions. It’s so overwhelming. It’s exciting! So much love for the babies.”

salemhealth.org/triplets

Megan

salemhealth.org/TBIsupport

Lives are saved Janet

“It’s amazing, absolutely amazing, what they have done for him. ‘Thank you’ doesn’t even seem enough.”

salemhealth.org/gratitude

Bodies heal “I can get on and off my bike easily, sleep beautifully—I feel bionic!”

Gigi

salemhealth.org/bionic

Eyes are opened “I could have killed one of my friends, and I don’t think I could have lived with that.”

Joshua

salemhealth.org/hillhopping

Thank you for making us a part of your story, and thank you for sharing your memories with us and our online community. You can join the conversation with Salem Health on Facebook and Twitter, or enjoy hundreds of video stories like these on our YouTube channel.

@salemhospital facebook.com/salemhealth salemhealth.org youtube.com/salemhealth

health for your

Ad Director

Greetings –

Bill Cummings

Graphic Designer Kerry Lorentz

Project Leaders

Nathan Jackson-Hockett Neil Potter

Advertising Management Patrick Bruce Jim Simonsen Valerie Thorne John Herron

Advertising Representatives Sarah Barker Brandy Bell Bill Beyer Clare Bruce Cherie Cavallaro Brian Claus Jamie Jarman Brian Leslie Terri McArthur John Moffett Nichole Nixon Shannon Novak Mike Parker Kassandra Perkins Jennifer Reed Christopher Salaz Yolanda Sifuentez

We live in exciting times. Our access to information on health comes to us from a click of a mouse; touch of an iPhone, and through the daily Statesman Journal and weekly Stayton Mail and Silverton Appeal. In this edition, we have gathered information to share with you as we look at living healthy in Oregon, and more specifically the Mid-Valley. When leaders in Washington, D.C., approved the Affordable Care Act a couple of years ago, the state of Oregon was already a few steps ahead in terms of planning for a system in which all people would be in control of their health insurance coverage. We share with you comprehensive information about Cover Oregon and how it impacts your life! We introduce you to Dr. Kamran Fattah, a dentist that uses television to draw patients into their own dental care. It is part of a high-tech approach he favors that also includes bite meters, 3-D dental imagers and automatic numbing equipment. As the winter rains and overcast skies return, we look at depression. Often thought of as an adult condition, but it can afflict children as well. According to the American Academy of Child and Adolescent Psychiatry, about 5 percent of children and adolescents “suffer from depression at any given point in time.” I encourage you to explore these important topics. Along the way, make sure to call on the professionals listed in our directories and on our pages that support the Mid-Valley with healthy living options. During the year, look for “Living Well” a monthly health section inside the Statesman Journal. You’ll find it the 3rd Sunday of each month, and in the Stayton Mail & Silverton Appeal the 3rd Wednesday of each month. Of course as health news breaks, you’ll be up to date with the daily Statesman Journal and statesmanjournal.com.

I welcome your feedback and comments. To Your Health!

Copy Editor Margaret Crandall-Hill

Cover design

by the Gannett Imaging and Design Center

President & Publisher Steve Silberman

Bill Cummings bcummings@ statesmanjournal.com.

Controller

Robert Quintanilla

©2013 Statesman Journal Media, a Gannett Company. For Your Health is published as an advertising feature and distributed to the subscribers of the Statesman Journal, Silverton Appeal & Stayton Mail along with other select locations. To be included in further publications, or to reach our audience, please contact your sales representative, or call (503) 399-6602 or email golocal@statesmanjournal.com.

Directory listings were provided by the Oregon Medical Board, the Oregon Board of Dentistry, the Oregon Physical Therapist Licensing Board, and the Oregon Board of Chiropractic Examiners. The listings provided are of active licenses practicing in Marion and Polk counties and are current as of September, 2013. Names on the lists provided by the boards with no location, no phone number or no credentials were deleted. The Statesman Journal makes no guarantees about the completeness or accuracy of these lists. Publication of this list is not an endorsement of the practitioners therein. To report errors in the lists please contact the following boards: Oregon Medical Board at omb.info@state.or.us; or 971-673-2700 Oregon Board of Dentistry at information@oregondentistry.org; or (971) 673-3200 Oregon Physical Therapist Licensing Board at Physical.Therapy@state.or.us; or 971-673-0200 Oregon Board of Chiropractic Examiners at oregon.obce@state.or.us; or 503-378-5816

Pain

Care

S p e c i a l i s t s www.PainCareOregon.com

If you still have chronic pain after the Salem Hospital pain clinic closed, we can help. We have the most advanced chronic pain treatments ready for you in Salem and Corvallis. Call or visit our website to make an appointment today.

We emphasize a multi-disciplinary approach to pain management. We focus on compassionate care for patients. We coordinate care with on-site staff experienced in interventional pain management, physical therapy, and pain psychology.

Getting You Back To Life Poly Chen, MD â&#x20AC;˘ Don Winder, PA-C 503.371.1010 2480 Liberty Street NE, Suite 110, Salem, OR

2211 NW Professional Dr., Suite 100, Corvallis, OR

Health Care Changes

hen leaders in Washington, D.C., approved the Affordable Care Act a couple of years ago, the state of Oregon was already a few steps ahead in terms of planning for a system in which all people would be in control of their health insurance coverage. That pre-planning close to home is now seen in Cover Oregon. Promotional material about the system states, “An innovative marketplace is coming for Oregonians to compare and enroll in health insurance. With Cover Oregon, you’ll have more choices, more control and more access to health coverage than ever before. It includes coverage from both public medical programs and private insurers. Enrollment begins this October with coverage starting in January 2014.” People in Oregon who want specifics about health insurance choices and federal mandates can start with CoverOregon.com. On that 4 | For Your Health 2013

website, people are guided through easy-to-understand pages meant for individuals, families, tribal members and businesses with fewer than 50 employees. Dealing with delay Until late August, Cover Oregon leaders intended for the online operations to be fully functioning on Oct. 1. When the organization saw how daunting the task was going to be for its roughly 150 employees and associated 30 community partners and independent agents, Cover Oregon pulled back a bit. According to a news release from Cover Oregon, direct access to the online sign-up will occur “later in October.’” There is no exact date yet, said Lisa Morawski, communications manager for Cover Oregon. Rocky King, executive director of Cover Oregon, said selecting and training community partners

‘‘

We want to make

the customer’s experience the best we can. We will work out the bugs and answer phones. When individuals are able to come onto the website seamless as possible.

‘‘

to enroll, it will be as

and agents has gone as smoothly as possible, but technology got in the way.

“We were concerned with Web overload,” King said. “The first month will be a staged launch. On Oct. 1, agents and community partners will be able to enroll people through the website. Those agents and community partners are going to be in the best position to understand the system and get through it quickly. They can also identify any potential bugs in the system. “We want to make the customers experience the best we can. We will work out the bugs and answer phones. When individuals are able to come onto the website to enroll, it will be as seamless as possible.” Until then, King said people can visit the website, and after entering their information, the site uses their zip code to put them in contact with a community partner or agent in their area. He said people should not worry that they will miss any deadline. This is the time for enrollment for coverage to begin Jan. 1, 2014. Once the digital bugs are worked out and Cover Oregon is certain the system is working as it should, people will be able to enroll online without personal contact if they choose, King added. But they will have the option to speak with a Cover Oregon customer service representative over the phone or meet face-to-face with a community partner, tribal representative or insurance agent in their area.

Options, penalties King is well-versed in explaining how Cover Oregon came to be.

“We have been talking about doing an exchange for almost 10 years. We predate some of the national legislation. ‘ObamaCare’ has provided Oregon the financial resources to move forward,” King said. “The ACA requires that every state has an exchange, or they can opt

out and let the federal government do it,” King said. “Oregon is one of the 16 states that opted to run their own exchange. The other 34 have opted to have the federal government operate their exchanges. (The federal government) provides the funding for the design, development and implementation of the exchange, and for the first year of operations. IRS tax forms due next spring will ask if the taxpayer has health insurance, and if the answer is “no,” fines will be issued. The minimum fine is 1 percent of the person’s annual income or $95, whichever is higher. For Your Health 2013 | 5

When passed by Congress, the ACA also required businesses with more than 50 employees to provide health care insurance for their workers. However, President Obama has postponed that mandate until 2015, giving businesses more time to study their options. Oregon’s small businesses can use CoverOregon.com to search for choices before 2015, King added.

‘‘

The Affordable

Care Act has individualthat requires people to have (health) insurance,

‘‘

responsibility mandate

Cover Oregon will provide free guidance. King even called it “hand holding.” Samantha Shepherd is Cover Oregon’s outreach strategist, and she’s in charge of structuring the program and making sure staff, community partners and agents are fully informed. She said many of the community partners already work with health insurance on a daily basis. They may be state or local public health departments, Safety Net clinics, local governments, school based offices or tribal agencies. “It is really important that Cover Oregon is not recreating the wheel. Many community partners are already experienced with their communities,” Shepherd said. Those community partners, and independent insurance agents, must pass a one-hour prerequisite

Guidance, money is available King said he knows that using the Cover Oregon website could be overwhelming for some people, and trying to understand its information may lead to more frustration. But, by selecting and training roughly 30 community partners and a still-growing number of licensed, independent insurance agents throughout the state,

class. That is followed by an additional four hours of online training, regional meetings, use of online tools such as newsletters and webinars, Shepherd said.

She said Oregonians can feel

secure that they are not being sold something they don’t need. Like community partners, agents are under the same requirement to show all plans for which the person is eligible. “Agents are licensed and certified. Community partners don’t have the ability to give advice like agents do, from their knowledge about the insurance market and their experience with the providers and the plans,” Shepherd said. King also said that community partners and agents are trained to provide information, but not force anybody into making a decision. King said, “Their first vested interest is to get everybody covered. … They are appointed by us to sell all products available through the exchange.”

online

The agents or community partners also can assist people when applying for financial assistance to pay premiums, co-pays and deductibles. The amount of financial assistance is determined by your household income. (Eligibility will be based on the modified adjusted gross income for your entire household.) You may also be eligible for cost-sharing assistance to help pay for out-ofpocket costs, such as copays and deductibles. Visit CoverOregon. com to see a preliminary estimate of health care premium cost. King said financial assistance via tax credits can be taken immediately, or participant can wait until the end of the year for a refund, or, take portion now to reduce the premium, and take the remainder at the end of the year.

6 | For Your Health 2013

CareOnly is an exciting local service that provides you primary care medical services for a monthly fee. It is not insurance. It allows you freedom of alliance with a primary care office without the burden and interference of insurance companies. It is 'old fashioned' medicine in that your doctor is working directly for you, not for the insurance company.

See CareOnly.com for details

Advice from the boss As executive director of Cover Oregon, King advises people to start gathering information now. “Go to the website (CoverOregon.com). Browse and look at the plans offered in different areas. Use the calculator to find what financial assistance you may qualify for. If you still have questions, connect with a community partner or an agent in your community,” he said. “Insurance is very complicated and plans are very different. It is essential that people get professional help in the beginning stages to make the best choice for their families,” King said. Lastly, King said people can always feel comfortable calling 1-855-CoverOR (1-855-268-3767) and speaking directly, and securely, with a trained customer service representative.

Certified by the State of Oregon: The Department of Consumer and Business Services issued a certification to this practice. You can contact consumer advocates at the Department of Consumer and Business Services at (888) 977-4894, dcbs.insmail@state.or.us, or www.insurance.oregon.gov

The Physicians of Hope Orthopedics of Oregon: Standing (L-R): Dr. Sudeep Taksali, Dr. John Coen, Dr. Kelly McCormick, Dr. Harold Boyd, Dr. Monica Zilkoski, Dr. Robert Fan, Dr. Robert Zirschky, Dr. Richard Tobin, Dr. John Ballard, Dr. David Pressman, Dr. Dan Sewell, Dr. Mark Dolan, Dr. Stephen Yao Sitting (L-R): Dr. Jeffrey Knight, Dr. Mark Foglesong, Dr. Malcolm Snider

Hope Orthopedics of Oregon A full spectrum of orthopedic care

Convenient and Comprehensive When you have an orthopedic injury or chronic orthopedic condition, traveling from one place to another to get the care you need is the last thing any doctor would order. Good news: You don’t have to go anywhere but Hope Orthopedics. We offer a full range of orthopedic care in one location where it is easy to coordinate the appointments required to complete your recovery or manage your condition.

Feel better get going

In the convenient and comfortable setting of Hope Orthopedics, you have access to: • A skilled team of orthopedic surgeons and health professionals • Comprehensive rehabilitation services, including physical and hand therapy • A cast and brace department staffed by certified technicians • X-ray, Lab, EKG and MRI • An affiliated outpatient surgery facility, Willamette Surgery Center (just across the street)

Foot and Ankle: Dr. Kelly McCormick Dr. Monica Zilkoski General Orthopedic: Dr. John Ballard Dr. Robert Fan Dr. Mark Foglesong Dr. Robert Zirschky Hand, Wrist, Elbow: Dr. Mark Foglesong Dr. Jeffrey Knight

Hip and Knee: Dr. John Coen Dr. Mark Dolan Dr. Dan Sewell Dr. Stephen Yao Dr. Robert Zirschky Shoulders: Dr. John Ballard Dr. Robert Fan Dr. Dan Sewell Dr. Richard Tobin Dr. Robert Zirschky

Sports Medicine: Dr. John Ballard Dr. Robert Fan Dr. Mark Foglesong Dr. Richard Tobin Dr. Dan Sewell Dr. Stephen Yao Trauma: Dr. David Pressman Dr. Sudeep Taksali

Consulting: Dr. Harold Boyd Dr. Malcolm Snider

Compassionate, Competent and Collaborative The Hope providers have many years of training and experience treating the most complex orthopedic conditions. In addition to general orthopedic surgeons, Hope gives you access to professionals with specific expertise in: • Feet and ankles • Hands, wrists, elbows • Hips and knees • Shoulders • Sports-related injuries and conditions • Total joint replacement and reconstruction • Trauma This specialty focus ensures you are in the care of a surgeon whose skills and expertise are most appropriate for your needs.

Customized Therapy Services Hope Orthopedics offers state-of-the-art therapy services delivered by highly trained professionals. Our visits are usually longer than standard therapy appointments, and most of our therapists are certified in more than one specialty area. This means you receive highly focused one-on-one attention and a level of expertise not often found in a physical or hand therapy setting.

Post-Therapy Assistance

Hope Active Mojo is for patients who have finished their physical therapy program, but wish to continue their rehabilitation under the guidance of our team of certified athletic trainers and with access to state-of-the-art fitness equipment.

Hope Active Mojo is appropriate riate for individuals recovering from ma wide range of conditions, such h as: • Musculoskeletal injuries • Joint replacements • Surgical procedures • Sports injuries

Performance Enhancement Programs The Hope Orthopedics of Oregon sports specialists offer comprehensive testing and evaluation services to help runners and golfers improve their performance and reduce the risk of orthopedic injuries. The Hope Run Mojo program provides runners of all levels with a comprehensive orthopedic examination that includes video analysis, musculoskeletal evaluations, footwear analysis, stretching and training advice and more. Through the Hope Golf Mojo program, golfers benefit from an orthopedic analysis that is used to create a personalized exercise program to improve strength, flexibility and stability. To schedule an appointment or for more information, call 503-540-6300.

HopeOrthopedics.com

Downtown Salem 1600 State Street, Salem

Satellite Clinics to Serve You Better 5825 Shoreview Lane N., Keizer

607 S.E. Jefferson Street, Dallas

PERSONALIZED MEDICINE

BY David Hegle

Personalized medicines fight cancers that fit the profile

Genentech, a pharmaceutical research company based in the San Francisco Bay Area, identifies the goal of personalized medicine as matching people to medicine, based on the genetic makeup of their disease. “The concept of personalized medicine has been going on for many decades,” said Dr. Bud Pierce, one of the specialists practicing at Hematology Oncology of Salem. He’s practiced oncology for 23 years, and points to personalized 10 | For Your Health 2013

medicine in the 1980s, when researchers discovered that an excess of the Human Epidermal Growth Factor Receptor 2 protein (HER2) could lead to breast cancer that was considered HER2-positive. As a result, Genentech researchers were able to develop Herceptin, cancer’s first personalized medicine, which blocked growth signals in HER2-positive metastatic breast cancer. “But personalized medicine didn’t take fire until the genetic testing revolution,” Pierce said. “Now we can look at the genetics of the tumor, and with more information, we can do something about it.”

‘‘

You hope to find a genetic target that is very common,

‘‘

espite the name, personalized medicine isn’t about the person at all – it’s about the cancer, and selecting a treatment that attacks only the tumor.

Within a type of cancer, tumors that match genetically show the same abnormal expressions of growth. This genetic profile is called a target, and success comes when a drug is identified as attacking a specific target. Personalized medicines have revolutionized the treatment strategy and survivability of some cancers, as Oregon Health and Science University-developed Gleevec did for

a certain form of chronic myelogenous leukemia.

results against the genetic aspects of a tumor, and look for promising results.

The breakthrough of OSHU’s Dr. Brian Druker’s was a drug that “is toxic to the cancer but not to patients, so the tumor can be targeted,” Pierce said.

The benefits of personalized medicine are only felt when a specific target and drug molecule have been matched. Meanwhile, the vast majority of cancers are still fought with chemotherapy, radiation and surgery that carry additional health risks and take their toll.

That protein is over-expressed in 25 percent of people with breast cancer, and those two drugs have helped patients live longer while undergoing standard treatments by slowing tumor growth. The more rare a target – whether because of the cancer’s overall rareness or because it only shows up in a small percentage of such cancers – the more expensive it is to come up with a personalized treatment and recoup costs. What Hematology Oncology of Salem first does is test a cancer for drugs that are FDA approved – prescriptions for Genentech drugs Perjeta and Tarceva are routine. If a tumor is beyond that scope, patients can be referred to OHSU, Pierce said, where Phase I clinical trials are conducted, and doctors “check the bank” of known drug

Since the 1980s, costs have steadily decreased and the number of viable personalized medicines has increased.

‘‘

Hopefully, as a society, we can come up with ways to really make this work. Identifying targets is way cheaper than it

‘‘

Genentech, which has manufacturing operations in Hillsboro, has continued research into numerous drugs, yielding Perjeta and Kadcyla, which also target HER2.

To discover a drug that might work against particular targets, researchers and drug companies screen thousands of compounds to find biomarkers that are viable candidates for fighting a particular genetic target.

was five to 10 years ago, so there’s hope.

For Your Health 2013 | 11

Salem Radiology Next Generation CT Scanner Cuts Radiation Dose to Patients By 35-40% The next generation of CT scanner has arrived in Salem, Oregon. Salem Radiology Consultants prides itself on providing state of the ar t medical imaging technology and recently unveiled its newest addition; a CT scanner that substantially reduces radiation exposure to patients.

Sa ale em Rad dio olo ogy y SALEM

(503) 399-1262 salemradiology.com

Administrative Director, R.A. Neitzel, admitted to being especially excited about their newest technology and the immediate 40% reduction in radiation dose to patients. According to Neitzel, “This is a significant step forward for patient safety. Previously, upgrades to CT technology were focused primarily on scanning faster and with greater image quality. Now the focus has shifted to lowering the amount of radiation to the patient with superior image quality.”

the standard by fur ther reducing the radiation dose used by 35% for head scans and 40% for all other scans of the body. Over the next 5 to 7 years, as imaging centers and hospitals replace their older equipment, I believe low dose CT scanners will become the new standard. Patients will demand the added safety.” While reducing radiation dose is impor tant for all patients, it is especially impor tant for younger patients and patients with conditions that require multiple CT scans over time. Recently, the U.S. Food and Drug Administration announced an initiative to reduce unnecessar y radiation exposure from medical imaging.

“Over the next 5 to 7 years as imaging centers replace their older equipment, low dose CT scanners will become the new standard. Patients will demand the added safety.”

According to Neitzel, “Many centers have scanners that provide dose modulation that automatically adjusts the radiation beam during the scan based on the density of the body area being imaged. This has become standard equipment. The new technology is a leap ahead of

As of Januar y 1, 2011, The Patient Protection and Affordable Care Act provides patients with more power to choose where they receive their imaging ser vices. You are encouraged to consult with your doctor about your imaging choices and request a facility that offers the safest scanning technology. There is a new MRI scanner in Salem that is receiving considerable attention within the medical community and

High HighDefinition Definition3T 3TMRI MRIBecomes Becomesthe the Preferred PreferredChoice ChoiceFor ForPatients Patientsand andPhysicians Physicians new new 3T3T MRI MRI has has a magnetic a magnetic field field is is quickly quickly becoming becoming thethe scanner scanner of of strength that that is is twice twice thethe strength strength of of choice choice forfor many many of of thethe patients patients and and strength other other local local MRI MRI scanner. scanner. The The new new physicians physicians of of thethe Salem Salem area. area. 3T3T MRI MRI anyany scanner also also features features anan open open design design is is a new a new and and sophisticated sophisticated technology technology scanner that that is is 17% 17% larger larger than than anyany other other that that previously previously was was only only available available local local scanner scanner forfor greater greater patient patient at at thethe larger larger academic academic medical medical comfort and and can can also also accommodate accommodate centers centers and and research research facilities facilities such such comfort patients patients weighing weighing upup to to 500 500 pounds. pounds. asas thethe Oregon Oregon Health Health and and Sciences Sciences University. University. Patients Patients entering entering thethe 3T3T scanning scanning suite willwill find find thethe experience experience to to bebe Tesla Tesla (T)(T) is is thethe unit unit of of measurement measurement suite verver y different. y different. The The skylight skylight scanning scanning quantifying quantifying thethe strength strength of of a a suite has has been been specifically specifically designed designed magnetic magnetic field. field. With With greater greater magnetic magnetic suite maximize maximize patient patient comfort. comfort. Patients Patients strength strength comes comes thethe ability ability to to detect detect to to areare also also encouraged encouraged to to bring bring to to their their and and visualize visualize smaller smaller structures structures appointment appointment their their iPod iPod or or MP3 MP3 player player within within thethe body. body. Greater Greater magnetic magnetic they they can can relax relax and and enjoy enjoy their their strength strength also also allows allows scan scan sequences sequences soso personal personal playlist. playlist. to to bebe completed completed in in less less time. time. The The

“When “When wewe scan scan thethe joints joints and and muscles muscles using using 3T3T MRI, MRI, wewe have have a a greater greater ability ability to to see see small small structures, structures, including including cartilage, cartilage, tendons tendons and and ligaments. ligaments. This This new new technology technology improves improves allall of of ourour scan scan sequences. sequences. Also, Also, because because wewe can can image image in in thinner thinner sections, sections, wewe can can even even evaluate evaluate thethe small small joints joints of of thethe hands hands and and feet.” feet.”

Dr.Dr.Leon LeonBurrows Burrows Musculoskeletal MusculoskeletalRadiologist Radiologist Director Director of of Orthopedic Orthopedic && Sports Sports Injury Injury Imaging Imaging

“3T “3T MRI MRI systems systems areare becoming becoming increasingly increasingly important important in in thethe early early detection detection and and characterization characterization of of breast breast malignancy. malignancy. When When used used in in coordination coordination with with mammography mammography and and ultrasound, ultrasound, 3T3T MRI MRI is is a powerful a powerful clinical clinical tool tool forfor evaluating evaluating patients patients with with a high a high risk risk of of having having breast breast cancer.” cancer.”

Dr.Dr.Kathleen KathleenScanlan Scanlan Radiologist Radiologist Director DirectorofofWomen’s Women’sImaging Imaging “3TMRI “3TMRI excels excels at at imaging imaging thethe anatomy anatomy of of thethe brain brain and and spine. spine. NotNot only only areare scanning scanning times times reduced, reduced, which which willwill lead lead to to decreased decreased motion motion artifact, artifact, butbut spatial spatial resolution resolution also also improves. improves. This This results results in in improved improved resolution resolution of of MRMR angiography angiography of of thethe brain brain and and neck, neck, improved improved visualization visualization of of very very small small structures structures such such as as thethe cranial cranial nerves nerves and and structures structures of of thethe inner inner ear, ear, and and improved improved sensitivity sensitivity forfor detection detection of of white white matter matter lesions lesions such such as as areare seen seen in in patients patients with with multiple multiple sclerosis. sclerosis. Blood Blood products products areare also also more more easily easily detected detected with with MRI. MRI. Overall, Overall, wewe expect expect ourour patients patients to to have have a more a more pleasant pleasant experience, experience, and and wewe expect expect higher higher quality quality images images that that willwill appeal appeal to to ourour referring referring clinicians.” clinicians.”

Dr.Dr.Jared JaredSadler Sadler Neuroradiologist Neuroradiologist| |Co-Director Co-Directorofof3T3TNeuro NeuroImaging Imaging

Invaluable

experience

from Willamette Valley Hospice “Just as much of a sacred moment as the birth of someone is the death of someone, because it crystallizes what’s really important about life and living,” said Holly Collier, whose mother was cared for by Willamette Valley Hospice. But how do you make the most out of every day at the end of life? Willamette Valley Hospice is here to help.

Making Each Moment Count

Peace of Mind

Who do you want to spend time with

This journey can be profoundly beautiful,

at the end of life? What things would

filled with treasured conversations and

you want to be sure to do if you’re

lifelong healing. And Willamette Valley

able? How someone wishes to spend

Hospice’s experienced support is here to

the end of their life is a personal

ensure families caring for an ailing loved

choice, making that experience filled

one get the help they need to enhance

with once-in-a-lifetime moments. It

the quality of every moment together.

makes them equally precious, but also equally stressful.

Why wait? “She didn’t want us to remember her sick

Asking for Support

in bed. And thanks to Willamette Valley

For those walking the end-of-life

Hospice, we were able to remember the

journey with a loved one, there

living mom,” said Collier. “It was the

You have the right to live your last

always is the worry of wanting to do

greatest gift I’ve ever had. Because I

months as you want. The sooner you

everything right, including honoring

got to love her; I got to love her at that

wishes and being there when you’re

wonderful moment.”

call Willamette Valley Hospice, the more we can help.

needed most. Sometimes, these responsibilities cannot be shouldered by one person alone. At Willamette

Valley Hospice, day or night, people who know this path are a phone call away.

AT YOUR SIDE.

Contact Willamette Valley Hospice at 503.588.3600 or visit wvh.org for additional guidance and considerations for end-of-life care planning.

Some things in life you only will do once. There are no do-overs. This makes them equally precious, and stressful. For those walking the end-of-life journey with a loved one, you know the worry of wanting to do everything right. To provide the greatest comfort. To honor wishes. Often, it becomes more than you can do on your own. Just know that day or night, people who know this path are a phone call away. This journey can be profoundly beautiful, filled with treasured conversations and lifelong healing. Savor each precious step. With less stress.

To learn more, call 503.588.3600 or visit wvh.org

Natural vs. Organic

he phrase does not refer to a long-running sports rivalry or battle between political parties.

In Oregon, as well as the nation as a whole, purchasing natural or organic foods is a consumer’s choice. That choice is becoming easier to make as food suppliers have access to more products that are being grown under stringent government regulations. The results of those rules are USDA certifications that are more clearly defined and labeled. Organic products are generally more expensive, but it is worth it for people to eat the healthiest food available, experts say. “I believe it is more nutritious,” said Darin Rybloom of Roth’s Fresh Market. “Chemicals in foods? I don’t like it; I don’t think it’s right.” Yes, it is his job to sell the organic foods, but it also his job to buy organic foods by the truckload for his customers. As Roth’s grocery buyer specializing in organic products, Rybloom is charged with selecting healthy products that will meet customer demand. Each of Roth’s nine stores in the mid-Willamette Valley carries 24,000 products. Of that total, 4,000 are USDA certified and prominently labeled as organic or gluten-free. Rybloom is well-versed in the healthy advantages of each one of those 4,000 specialty products.

And, that number should rise to roughly 7,000 organic or gluten-free products in a few years, Rybloom added. “That is where the growth will be in our industry,” he said. “That is what people want.” The first Roth’s grocery store opened in 1962 in Silverton, home of store founder Orville Roth. Since that time, Roth’s has grown from that single store into a multi-store independent local grocer that puts priority on locally grown foods and positive relationships with those local growers. In the past two years the stores’ shelves have come to include about 30 percent more certified-organic products, in response to consumer demand, said Will Hawkins, marketing and advertising coordinator for Roth’s. But, what is organic? How do organic foods compare to foods that are simply termed “natural?” The U.S. Dept. of Agriculture states that “natural” does not mean “organic” and comes with no guarantees. “Natural foods” often are assumed to be foods that are minimally processed and do not contain any hormones, antibiotics or artificial flavors. In the U.S., however, neither the FDA nor the USDA has rules or regulations for products labeled “natural.” As a result, food

On nearly any aisle at local grocers, shoppers can most likely find the bold, brown GF affixed to gluten-free products and the bold, green “O” label for organic. 16 | For Your Health 2013

i Organic foods DO: • Use compost and manure instead of chemical fertilizers. • Employ insects and birds, not chemical insecticides, to reduce pests and disease. • Rely upon handweeding or rotating crops to reduce weeds, not chemical herbicides. • Feed animals only organic products, allow them access to the outdoors, and prohibit use of antibiotics or hormones. manufacturers often place a “natural” label on foods containing heavily processed ingredients. But, a consumer can ask, “Every apple is natural, right? It grows on a tree.” The organic apple is the same color and crunches the same as the one without a USDA Organic certification. So, why is it called “organic?” Salem Health relies on USDA science and research to answer that question. It has published online a collection of articles and government regulations (http://salemhealth. staywellsolutionsonline.com). “Your Guide to Organic Foods” is the lead article that details what the term “organic” means and gives reasons that the USDA believes the organic-certified

food is superior for a healthy diet. The online site from Salem’s largest healthcare provider begins by saying, “Fruits, vegetables, grains, dairy products, and meat can all be certified as organic if they meet FDA requirements for growth, handling, and processing.

The number of organic vegetables and fruit available is expected to greatly increase in coming years for the produce department of every Roth’s Fresh Market. Roth’s buyer of organic products, Darin Rybloom, said customer demand for healthier options is driving the growth.

Readers can infer that what it comes down to is the use of additives and chemicals in food production. The terms “hormone free,” “free range” and “all-natural” may be important for some consumers, but they are not the same as organic. The USDA has developed a strict set of government standards and regulations concerning the organic-foods industry. Food producers who follow

Food processors can use this label on their products when they have met USDA standards for growth, handling and processing.

For Your Health 2013 | 17

those guidelines and pass inspections are allowed to use the organic label, which the USDA hopes can offer consumers a symbol that they can trust. Trust comes from the USDA inspection process and the heavily regulated food system. Only organic guarantees no toxic synthetic pesticides, toxic synthetic herbicides, or chemical fertilizers are used in production, and no antibiotics or growth hormones are given

i Organic is all about what is and is not associated with the food.

Roth’s Fresh Markets mark their shelf price tags with “Gluten Free” and “Organic” to assist customers while shopping for healthy food options.

18 | For Your Health 2013

to animals, according to USDA documents. Organic producers and processors also are subject to rigorous announced – and unannounced – certification inspections by thirdparty inspectors to ensure that they are producing and processing organic products in a proper manner, the federal agency said.

Darin Rybloom inspects the gluten-free offerings at Roth’s Fresh Market in Silverton.

The GF sign tells consumers that this product contains less than 20 parts per million of wheat gluten. Those with celiac disease, gluten intolerance or wheat allergies rely on this formal declaration from the processor.

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Varicose veins: the tip of the iceberg.

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The vast majority of people suffering from venous disease have never been evaluated.

hirty million Americans suffer from venous disease (compare with Heart disease, 12 million, stroke disease 4 million). The most common venous disorder is Venous Insufficiency. The vast majority of people suffering from venous disease have never been evaluated. Why do they suffer? They suffer because they are unaware of the advances in the treatment of vein disease. They suffer because their family doctor has told them not to worry about it; it is cosmetic. They suffer because they believe (or have been told) that the treatment is worse than the disease, images of grandma lying in a hospital bed all battered and bruised with dozens of fresh surgical incisions from her recent vein stripping. Only 1.9 million, or about 6% of the total of people affected, seek treatment each year. Of those who seek the advice of a vein specialist, it is estimated that 500,000 will undergo some type of treatment, therapy, procedure to treat their venous disorder. Those who do not undergo treatment typically have less severe disease and will be educated about the things they can do to achieve better venous health, through behavior modification and the use of several tools. Varicose veins are just the beginning, the first hint, that there is something wrong. If these abnormal veins are ignored, a condition called Chronic Venous Insufficiency (CVI) will develop; how soon that progression develops, depends, in part on each individual. Chronic Venous Insufficiency is a progressive medi-

cal condition that worsens over time and affects the low pressure vessels in the legs that carry oxygen poor blood back to the heart. The phases of the disease (CVI) are a direct result of an abnormal increase in venous pressure. This increased venous pressure, if left unchecked will result in a cascade of events that will lead to the advanced stages of CVI: swelling, itching, flaky skin irritation, tissue breakdown and venous ulceration.

What is venous insufficiency?

Another term for venous insufficiency is “Reflux”. Healthy veins contain valves, which are composed of gossamer thin flaps of tissue, resembling the shape of a jib sail, that open and close as part of their function to return blood back to the heart. In concert with the muscles in the leg, the valves allow blood to flow upwards, against gravity. Venous reflux, which is the

underlying malfunction and underlying cause of CVI, occurs when the valves become damaged or diseased. Reflux or backward flow of blood occurs in these affected veins. Because normal valves are critical for the proper functioning of these low pressure vessels, these veins become “Insufficient” or incompetent and cannot do their job. Pooling of blood, which leads to venous hypertension, is the end result.

At what point do varicose veins become CVI?

While this is not something that is universally agreed upon Varicose veins become a chronic problem when the symptoms and signs are severe enough to interfere with the enjoyment of an active life style. By the time a person develops significant swelling and or skin changes, the diagnosis of Chronic Venous Insufficiency is a foregone conclusion. NOTE: There is a classification system for the stages of venous insufficiency termed C.E.A.P that is beyond the scope of this article. If you would like to know more, search â&#x20AC;&#x153;CEAP classificationâ&#x20AC;?.

What CAN I do?-conservative management.

First of all if you think you have venous insufficiency, no matter how mild, you should consult with your doctor or vein specialist. It is important to establish a baseline against which progress, or the lack there of can be charted. Conservative management of the disease must start early in its course, much earlier than most people realize. Measures must be aimed at countering the effects of gravity and poorly functioning one-way valves which leads to the propensity of the legs to hold onto extra fluid (pooling).

Behavior modification:

Since we know what causes CVI and what it does to the legs, it is important that we incorporate into our daily routines measures that allow the blood to move, and as much as possible drain back to the heart. Do not sit for more that 20 minutes at a time. Set a timer, get up and walk around for 30 seconds. Elevate your legs above your heart as much as possible. Raise the foot of your bed 3-5 inches. If appropriate, lose weight, start exercise if not already exercising. Book air flights early in order to get an aisle seat- this will allow

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you to get up more frequently on long trips. Behavior modification doesnâ&#x20AC;&#x2122;t cost anything.

Compression Therapy

Graded compression therapy will combat the stretching of the veins and pooling of the blood in the legs. Compression therapy can come in several forms, but the most common is Medical Grade elastic stockings. These stockings are available by prescription from your doctor or vein specialist. Unless you know what you are doing, I would not order your first pair online.

...Varicose veins become a chronic problem when the symptoms and signs are severe enough to interfere with the enjoyment of an active life style.

What if I fail conservative management?

People who are able to modify their behavior and who are comfortable wearing compression stockings can hold off the progression of CVI for a long time. Years. If your symptoms persist and interfere with your activities, in spite of conservative management, you may require treatment. In the later stages of CVI, treatment is always recommended.

Treatment

Multiple modalities exist for the treatment of varicose veins. From vein stripping (rarely) to catheter based treatments that fuse the vein from the inside, to surface sclerotherapy with or without foam, Ultrasound guided foamed sclerotherapy, ambulatory phlebectomy (a form of vein stripping). The various treatments can be used alone, but are usually combined in a variety of ways. Today, all of these are performed as outpatient procedures, usually in the doctorâ&#x20AC;&#x2122;s office with local anesthesia. Which ever method(s) of treatment is performed, behavior modification, as discussed earlier, and the judicious use of compression therapy, will always be the mainstay of therapy and will be valuable tools for a lifetime.

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Children’s Health

BY Sarah Kickler Kelber

epression is often thought of as an adult condition, but it can afflict children as well.

According to the American Academy of Child and Adolescent Psychiatry, about 5 percent of children and adolescents “suffer from depression at any given point in time.” “There are some estimates that by age 18, one in every five people has experienced an episode of depression,” says Dr. Carolyn McCarty, a researcher at Seattle Children’s Research Institute. “Adults tend to have low moods or become withdrawn,” said Sandra Stradley, a licensed clinical social worker and therapist who practices in Salem. “With kids, it’s more irritability, anger or behavioral problems. It’s confusing when you’re trying to diagnose a child because it can look like other things.” It’s confusing, but not impossible, as long as everyone works together.

Pediatric depression can be difficult to diagnose because it presents differently in children than in adults. 22 | For Your Health 2013

education about depression and how it presents and children need education because it reduces stigma and

‘‘

Communication key for children with depression

‘‘

Parents need

promotes understanding.

“A good diagnosis makes for a good treatment plan,” Stradley said. “You’ve got to go through all the steps – medical

history, social history, biological tendencies; you want to gather all that information before proceeding.” Once a diagnosis is made, there are a number of options for treatment – and research is being done on how to help prevent depressive episodes before they start. As with adults, the main two treatment options are psychotherapy and medication, typically SSRIs, and opinions vary on which ought to be the first line of defense.

Stradley prefers to start with the least invasive strategy first. “In certain situations, if the depression doesn’t respond to play therapy or talk therapy, then a child will be evaluated for medication,” she said. But, she added, for some children and adolescents, medication is the tool that works the best. She noted that for those taking SSRIs and other prescription drugs, it’s paramount that parents learn about the side effects and make sure the medication is taken exactly as prescribed.

Parent-child communication

Phillip Blea, a licensed clinical social worker and team supervisor for the department, mentioned one popular program, a parenting class called Strengthening Families, which is offered in a number of Marion County schools for parents of 10-yearolds to 14-year-olds.

Research Institute.

‘‘

The No. 1 issue

involves lots of empathy for the child and trying to understand their perspective and point of view.

was key to McCarty’s recent study for Seattle Children’s

The seven-week class takes place in the school setting, with each class lasting three hours. First, there is a meal together. For the second hour, youth and parents split into separate groups for learning activities, and in the third hour, they come together to discuss what they’ve learned and set some goals to work on together. “Together” being the operative word.

is communication. That

‘‘

McCarty said that it’s “a matter of choice to start with one or another, and if one treatment doesn’t work, a patient can switch to the other.”

Marion County children can be referred to the Children’s Behavioral Health program by teachers, school counselors, pediatricians or family members for assistance.

“The main thing is to find lots of opportunities to talk to your youth,” Blea said. “It can be tough because they are wanting to pull away, but engaging in conversations, even about silly things, is important.” He also recommended using Salem-Keizer School District’s Intouch

With therapy for children, Stradley said, it’s important for parents to be an active part of the treatment team. There are books for every age group about depression and anxiety, which can help kids understand what’s going on and that they are not alone, she said. Plus, peer group counseling gives feedback from the counselor as well as other kids. Other therapy options include cognitive behavior changes. “You can tell kids, ‘Did you know you’re the boss of your brain? Did you know when the ‘bully’ feelings like worry and fear come in your brain, you can tell them to go away?’” Stradley said. Changing how they think about problems can help them improve their ability to manage them. Locally, there are several resources for parents concerned about their children’s mental health. For Your Health 2013 | 23

She developed a program called Positive Thoughts and Actions, in

Tips for parents • Tune in to your child’s emotional life and how different situations make them feel. Be empathetic and listen to your child’s perspective. • Teach your child how to problem solve. Look at a problem, and have him or her brainstorm potential ways to address it. Include creative ideas. Have your child make a choice after evaluating many different options, and then revisit the decision moving forward. • Help your child set goals, specifically goals that are realistic (think baby steps), measurable and that can be changed. • Talk with your child about how to manage really strong emotions. Encourage them to stop and let emotions settle down before responding to the situation. Source: Dr. Carolyn McCarty, Seattle Children’s Research Institute 24 | For Your Health 2013

which kids in four different middle schools in Washington were taught cognitive strategies for managing emotions, solving emotional problems with a systematic approach and, she said, “how to think about things more realistically rather than distorting negative events.” The students, who had some early depressive symptoms but were not at the threshold of depression, McCarty said, were also shown how to apply these skills to their school lives, their interpersonal relationships and their health choices. Parents were involved as well, taking part in home visits or workshops at the schools to learn strategies of their own. The children in the control group in the study, which was published in April in the Journal of Clinical Child & Adolescent Psychology, were given an “individual support program,” which was a one-on-one interview in which the interviewer helped the children develop an action plan for dealing with their issues. In the end, according to a release from Seattle Children’s Research Institute, “Those who received group intervention with a focus on the positive showed greater decreases in depressive symptoms, compared with those who received individual support.” McCarty said the parent component was very important to the Positive Thoughts and Actions program.

‘‘

The closer of a

relationship you have with your child, the better they will open up. and the more easily parents can differentiate between the normal dramas of adolescence and deeper

She also recommended parents schedule regular times to check in with their children.

problems. We’ve shown

The next area of interest is following up with the children in her study to see how lasting the preventive effects are.

learn and implement

“Ideally, implementation would be the next step as well,” McCarty said, “rolling out the program to other schools or after-school venues.” Stradley noted that cognitive therapies are extremely helpful, but, she said, “It’s very important to get to the root cause of the depression in the first place. Otherwise, it can keep cycling.”

that we can help them strategies to deal with negative events in their lives, help them draw on their support and become resilient even in face of

‘‘

program, which allows parents to check on their children’s grades online occasionally to make sure they aren’t getting too far behind.

bumpy issues that are part of the process of growing up.

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Cholesterol

Research investigates link between cholesterol-lowering drugs and diabetes risk By David Hegle

owering cholesterol is on many health to-do lists, with the U.S. Centers for Disease Control and Prevention estimating that 71 million adults have a high level of the “bad” low-density lipoprotein (LDL) cholesterol that is closely linked to the risks of heart attack and cardiovascular disease. This health concern has made cholesterol-lowering medications among the most commonly prescribed drugs, and in 2011, about one in four Americans older than 45 took some form of statin. Statins work by blocking HMG-CoA reductase, an enzyme used in cholesterol production. After clinical trials in the 1990s, statins were widely introduced with known side effects such as muscle pains and cramps, but recently there has been evidence linking certain statins to

‘‘

Statins are a cornerstone for treating high cholesterol. As far as coronary disease,

‘‘

there’s a huge benefit in reducing mortality.

RIGHT: Matthew Ito

28 | For Your Health 2013

an increased risk of developing type-2 diabetes. “Every single drug — whether over the counter or something you prescribe — will have side effects,” Krishnamurthy said. “You have to weigh the risks.” Matthew Ito, a professor of pharmacy practice at the Oregon State University/Oregon Health & Science University College of Pharmacy, has been conducting cholesterol-related research since 1990, and he has a personal stake in statin effects. “My interest in this whole area came about because I inherited a disorder — familial hypercholesterolemia,” Ito said. The genetic condition affects about one in 500 people and is marked by elevated levels of LDL cholesterol.

“Before statin medications were approved for us, we really were limited in the treatment choices regarding this disorder,” he said. Ito believes statins’ known benefits easily outweigh suspected side effects, saying for example that among 200 people taking statins, one additional diabetes case might go along with 2440 people who have a cardiac event prevented. “The risk-to-benefit ratio is very good,” Ito said. “Our interest in this was figuring out what was causing or what could potentially be causing this.” Prior research showed that the use of simvastatin (better known as Zocor) accompanied a drop in the level of the protein GLUT4, which, along with insulin, helps regulate blood sugar levels. Ito also knew that statin-treated

cells saw a drop in Coenzyme Q10, which is needed for cells’ mitochondrial function; mitochondrial dysfunction has been identified as a possible factor in developing type-2 diabetes. Ito, director of the Cardiovascular Pharmacodynamics Laboratory at OSU, wanted to see what would happen to cells that had their coenzyme Q10 level supplemented alongside statin exposure. He published his results in March, showing that cells supplemented with coenzyme Q10 maintained levels of GLUT4. This initial testing was only done with two statins – the lipophilic simvastatin and the hydrophilic pravastatin. The latter has more difficulty moving through cell membranes and did not show the same initial effect on GLUT4. Ito is presently applying for a grant from the university to continue his research, testing more statins at a cellular level. For the cases that call for a stronger statin, Ito said the question becomes “if that statin has a higher risk of diabetes, how can you reduce that risk?” If a patient is already at high risk for diabetes, “maybe the first choices should be something medium-potency,” Krishnamurthy said. Krishnamurthy considers potential side effects when choosing a statin, but prefers to have patients on the right medication at the lowest beneficial dose – and lifestyle changes that yield weight loss can allow for lower doses or drugs less powerful than simvastatin. “The best medication is to avoid having to take one in the first place,” he said.

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Health Technology

More people using apps to monitor health

olks interested in pursing a healthier lifestyle, take heed – there may be an app for that.

Tens of thousands of apps currently are available to help people count calories, track their medication, research medical conditions or pursue the perfect workout.

Jessica Hicks, a health educator with Salem Health’s Community Health Education Center, recently discovered while teaching a heart fitness class how pervasive these apps have become.

“Everyone in class was using FitBit, and they would talk about using the LoseIt app to track their calorie intake and other apps to achieve other goals,” Hicks said. “I was pretty impressed with how into it they were, and these were women 40 years old or older – not the younger people you usually associate with the latest technology.” But experts warn that, along with useful apps that can help a person take control of their health and fitness, there’s a fair amount of snake oil being sold. “The regulatory agencies just haven’t been able to keep up, so you have a lot of stuff out that’s potentially harmful,” said Dr. Joe Kvedar, founder and director of the Center for Connected Health. “I would say 99 percent of them are close to worthless, but that still leaves you with a pretty big number that are useful. It’s just a matter of figuring out which the useful ones are.” The U.S. Food and Drug Administration has been working for two years on guidelines for app developers, but until those are adopted, buyers must beware. The safest and most useful apps tend to help people with lifestyle goals such as eating right and working out, Kvedar said. 32 | For Your Health 2013

BY Dennis Thompson

These include apps like Nike Fitness Club, which provides workout plans matched to a person’s daily needs, or MapMyFitness, which allows a person to track both the amount of calories they consume as well as the calories they burn through exercise, Hicks said. There are apps like Zombies, Run! that can provide additional motivation during your daily jog, and apps like Restaurant Nutrition that can help you order healthy meals when eating out. Many medical centers and doctors clinics also have begun putting patients’ records online, so people can look up their stats and track their health. Kaiser Permanente has been a leader in this, Kvedar said. “Because we’ve set medical care up to be so episodic, it leaves gaps in people’s lives where they would like to see some guidance or help or coaching, and the app space is filling that in,” he said. But Kvedar said people should beware of any app that tries to step in and do the work of a doctor.

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MEDICAL DIRECTORY Acupuncture

Anesthesiology

Nancy Arntson, LAc �� (503) 798-2918

Lori Borella, MD �� (503) 769-2175

Christopher Beardall, LAc �� (503) 982-6925

Timothy Connelly, MD �� (503) 566-4520

Gene Bruno, LAc �� (503) 371-8770

Nancy Fisher, MD �� (503) 365-3965

Travis Buckmaster, LAc �� (503) 981-4591

Karl Hyde, MD �� (503) 365-3965

Margaret Campbell, LAc �� (503) 798-2918

Mark Kelly, MD �� (503) 561-5200

Wendy Childs, LAc �� (503) 383-9796

Reginaldo Molina, MD �� (503) 365-3965

Michelle Denker, LAc �� (503) 312-4246

James Moore, MD �� (503) 566-4520

Margaret Eng, LAc �� (503) 873-6705

Timothy Thurston, MD �� (503) 566-4520

William Frazier, LAc �� (503) 678-1585

Eric Vonborstel, MD �� (503) 769-2175

Julie Hamilton, LAc �� (503) 585-0665

Paula Wutte, MD �� (503) 365-3965

Kristin Hamilton, LAc �� (503) 910-3140 Echo Hobbs, LAc �� (503) 581-5990 Clarence Holman, III, LAc �� (503) 881-8361 Lorin Johnson, LAc �� (503) 873-3800 Christopher Kleronomos, LAc � (503) 562-6002 Laura LaDue, LAc �� (503) 399-1400 Nina Meledandri, LAc �� (971) 221-7421

Clinical Cardiac Electrophysiology

Ashit Patel, MD �� (503) 485-4787

Critical Care Medicine Fayez Bader, MD �� (503) 588-3945 Saleh Ismail, MD �� (503) 588-3945 Nicole Vanderheyden, MD �� (503) 494-8311

Dermatology

Cardiology Kamran Ghalili, MD �� (503) 814-4440 Raghunandan Kamineni, MD �� (503) 814-4440 James Lowry, MD �� (503) 814-4440 William Stiles, MD �� (503) 585-5585 Kirk Walker, MD �� (503) 485-4787

Cherie Mensching, LAc �� (206) 459-6626

Cardiovascular Diseases

Jody Neubert, LAc �� (503) 588-6633

(503) 364-3321 2441 Grear Street, NE Salem, OR 97301 www.salemdermatologyclinic.com John M. Currie, MD

(503) 364-3321

Matthew Fedor, MD �� (503) 814-4440

S. Jon Denton, MD

(503) 364-3321

Angela Pfaffenberger, LAc, PhD (503) 364-3022

Harminder Gandhok �� (503) 485-4787

Michael E. Goodenberger, MD (503) 364-3321

Katie Rablin, LAc, RN �� (503) 873-6705

Hrishikesh Iyengar, MD �� (503) 561-7171

Shashi K. Srinivasan, MD

(503) 364-3321

Brett Renquist, LAc �� (503) 585-1282

Barath Krishnamurthy, MD �� (800) 876-1718

Amy L. Ullan, PA-C

(503) 364-3321

Monica Rudestam, LAc �� (971) 409-4049

Wallace Lai, MD �� (503) 585-5585

Eric B. Harmon, PA-C

(503) 364-3321

Robin Schaefer, LAc �� (503) 678-2277

Joshua Leichman, MD �� (503) 585-5585

Teresa L. George, PA-C

(503) 364-3321

Deanna Settlemier, LAc �� (503) 588-9377

Ranae Ratkovec, MD �� (503) 485-4787

Louisa Silva. MD �� (503) 585-9239

Richard Wilson, MD �� (503) 585-5585

Nancy Sutton, LAc �� (503) 798-2918

Cardiovascular Surgery

Deborah Tremblay, LAc �� (503) 881-6379

Leon Colburn, PA �� (503) 371-4044

Takashi Yamamoto, LAc �� (503) 480-9697

Juan Oyarzun, MD �� (503) 371-4044

Addiction Psychiatry Susan Elmore, MD �� (503) 378-2423 James, Miller, MD �� (503) 561-5761

Allergy and Immunology

Thomas Winkler, MD �� (503) 371-4044

Child and Adolescent Psychiatry

William Lear, MD �� (503) 362-8385 Bert Mackaman, MD �� (503) 378-0374 Cory Maughan, DO �� (503) 362-8385 Richard Thomas, DO �� (503) 362-8385

Diagnostic Radiology Johan Ahn, MD �� (503) 566-4538 Gregory Bear, MD �� (503) 623-7302 Charles Beck, MD �� (503) 769-9211

Joseph Chien, DO �� (503) 945-9276

Stephen Burrows, MD �� (503) 399-1262

Leon Harrington, MD �� (503) 990-8772

David Burton, MD �� (503) 623-8301

Mark, Chan, MD �� (503) 361-5400

Kay Reichlin, MD �� (503) 945-7146

Richard Collins, MD �� (503) 399-1262

James McDonald, MD �� (503) 581-5892

Janis Strickler, MD �� (503) 885-5205

David Farthing, MD �� (503) 399-1262

Laura Metzger, MD �� (503) 990-8772

Cynthia Visner, MD �� (503) 945-2800

Stephen Fitch, DO �� (503) 588-5985

Stephen Stewart, MD �� (503) 371-3512

Michael George, MD �� (503) 399-1262 Sidney Green, MD �� (503) 399-1262 Michael Hanslits, MD �� (503) 399-1262

Location KEY Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul, Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem 36 | For Your Health 2013

MEDICAL DIRECTORY

Diagnostic Radiology

Ken Hirasaki, MD �� (503) 399-1262 Robert Myers, MD �� (503) 588-2674 Jose Novoa, MD �� (503) 399-1262 Anthony Pappas, MD �� (503) 362-0254 Prasanth Prasanna, MD �� (503) 588-2674 William Purnell, Jr., MD �� (503) 362-0254 James Schmidgall, MD �� (503) 602-3399 Michael Smolin, MD �� (503) 399-1262

Emergency Medicine

Ronald Stallings, MD �� (503) 285-6853

William Carnett, DO �� (503) 561-4939

Kirsten Steketee, MD �� (503) 561-5634

Evelin Carpiet, MD �� (503) 798-4200

Charles Stringham, MD �� (503) 769-2175

David Chen, MD �� (503) 813-3860

Vince Truong, DO �� (503) 561-5200

Ryan Cooley, MD �� (503) 399-2424

Henry Truong, MD �� (503) 561-5200

Susan Corzilius, MD �� (503) 361-5400

Steven Vets, DO �� (503) 623-8301

Judy Davis, MD �� (503) 371-7701

Joshua Walterscheid, MD �� (503) 561-5634

Yara Delgado, MD �� (503) 845-2000

Endocrinology, Diabetes & Metabolism Martin Bassett, MD �� (503) 399-8105

Michael Barr, MD �� (503) 561-5634

Thomas Chamberlin, MD �� (503) 362-9334

Pamela Bird, DO �� (503) 561-5554

Cort Garrison, MD �� 503) 362-9334

Jack Buchanan, MD �� (503) 561-5554

Rodney Michaels, MD �� (503) 589-0565

Robert Chisholm, MD �� (503) 873-1500 Brian Clothier, MD �� (503) 561-5634

Family Medicine

(503) 391-1110 5050 Skyline Village Loop, S Salem, OR 97306 www.drsclinic.com

Jeffrey Hemstreet,MD �� (503) 561-5200

Rashanda Brown, DO

(503) 391-1110

Robert Hillstrom, DO �� (503) 623-8301

Christopher Buckley, MD

(503) 391-1110

Charles Johnson, MD �� (503) 561-5634

Jay Campbell, DO

(503) 391-1110

Robert Kelly, MD �� (503) 561-5634

David Edmonds, MD

(503) 391-1110

Ryan Kirkpatrick, MD �� (503) 561-5200

Heidi Fletemier, MD

(503) 391-1110

Kenneth Kolarsky, MD �� (503) 873-1691

Cynthia Harper, MD

(503) 391-1110

Lazeni Koulibali, DO �� (503) 561-5634

Antje Howard, MD

(503) 391-1110

Neil Lancefield, MD �� (503) 561-5634

Myron Lee, MD

(503) 391-1110

Katherine Landen, MD �� (503) 561-5634

Andrea Lind, MD

(503) 391-1110

Rebecca Lucas, DO �� (503) 689-1585

R. Kirsten Rey-Rosa, MD

(503) 391-1110

Rumm Morag, MD �� (503) 561-5634

George Thomas, DO

(503) 391-1110

Min Chai Pak, MD �� (503) 561-5634

Curt Hawkinson, PA-C

(503) 391-1110

Trevor Phillips, MD �� (503) 561-5634 Jillian Schmunk, MD �� (503) 561-5634 Robert Sloan, MD �� (503) 561-5634 Danny Sparks, MD �� (503) 769-2175 Donald Stader, III, MD �� (503) 561-5634

Antonio Germann, MD �� (503) 982-2000 Roy Hall, MD �� (503) 399-2424 Keith Haugen, MD �� (503) 873-1500

Lara Knudsen, MD, MPH �� (971) 599-1002

Timothy Edelblute, MD �� (503) 561-5634

Lewis Sayre, MD �� (503) 561-5634

Sandra Garrard, MD �� (503) 399-2424

Caroline King-Widdall, MD �� (503) 814-4400

Timothy Duenas, MD �� (503) 561-5634

Michael Hare, MD �� (503) 363-8171

Charles Essex, MD �� (503) 838-1388

Olivia Kamayangi, MD �� (503) 378-7526

Amy Dourgarian, MD �� (503) 494-8311

Leonard Hamm, MD �� (503) 873-1500

Jared Eller, DO �� (503) 399-2424

Evan Inman, MD �� (503) 361-5400

Gail Defrees, MD �� (503) 873-1690

Christopher Hale, MD �� (503) 561-5634

Leslie Drapiza, MD �� (503) 588-0076

Barbara Hoover, DO �� (503) 315-4015

Kyran Colbry, MD �� (503) 561-5634

Donald Graham, MD �� (503) 873-1690

Suzanne Deschamps, MD �� (503) 361-5400

Earl Lee, DO �� (503) 339-3222 Jessica Lehrfeld Smith, DO �� (503) 873-5667 Sheila Mitchell, MD �� (503) 373-8550 Hal Mitchell, DO �� (503) 623-3199 Jerrod Mitzel, MD �� (503) 362-6304 William Nagel, MD �� (503) 945-2800 Eric North, MD �� (503) 874-6026 Phoenix North, MD �� (503) 874-6026 Mark Olson, MD �� (503) 361-5400 William Peffley, DO �� (503) 623-1200 Kyla Pepper, MD �� (503) 361-5400 Michael Puerini, MD �� (503) 373-0168 Michelle Rasmussen, MD �� (503) 540-7477 Marvin Roman, MD �� (503) 378-7526 Loretta Scheler, MD �� (503) 990-8772 Elisabeth Ann Scott, MD �� (503) 378-7526 Yolanda Suarez, DO �� (503) 315-5400 Amy Sutkus, MD �� (503) 897-4100

Marcia Adams, MD �� (503) 986-0325

Kim Thompson, DO �� (503) 399-0021

Paul Angleton, MD �� (503) 814-4410

Julian Uselman, DO �� (503) 873-5667

Nikhil Batra, MD �� (503) 561-5200 Geoffrey Carden, MD �� (503) 606-3288

MEDICAL DIRECTORY

Family Medicine

Jeanette Walker, MD �� (503) 399-1400 Gerald Williams, DO �� (505) 399-2424 Eric Wiser, MD �� (503) 769-2259 Amy Wiser, MD �� (503) 769-2259 Anda Yangson, MD �� (503) 561-5200 Flora Yao, MD �� (503) 394-3633

Family Practice Roger Applegate, MD �� (503) 304-7600 Raymond Baculi, MD �� (503) 399-2424 Lawrence Barnes, Jr., MD �� (503) 897-4100 Elizabeth Blount, MD �� (503) 873-8686 Richard Boughn, MD �� (503) 769-7771

Julie Broyhill, MD �� (503) 982-2174

John Fitzgerald, MD �� (503) 399-2424

Stephen Chaffee, DO �� (503) 623-2345

Tom Flaming, DO �� (503) 623-8376

Denise Chun, MD �� (503) 982-2000

David Foster, MD �� (503) 769-6367

Thomas Culhane, MD, MS �� (503) 967-7418

Fred Foulke, MD �� (503) 399-2424

Evelin Dacker, MD �� (503) 399-1400

Irene Fu, MD �� (503) 399-2424

John Daniels, MD �� (503) 399-2424

Lesley Garber, DO �� (503) 399-2424

Johnny Deblock, DO �� (503) 378-7526

Julie Gilbert, MD �� (503) 393-2533

Guesly Dessieux, DO �� (503) 769-6386

John Gilliam, II MD �� (503) 873-1578

Heather Diaz, MD �� (503) 588-0076

Ritchie Gooch, MD �� (503) 769-7771

Nancy Dougherty, MD �� (503) 769-9362

Michael Grady, MD �� (503) 873-1764

Christopher Edwardson, MD �� (503) 623-2345

Kendall Graven, MD �� (503) 399-2424

Monchito Entena, MD �� (503) 982-2202

Page Griffin, MD �� (503) 982-2000

Carolyn Fairfax, MD �� (503) 391-1110

Scott Hadden, MD �� (503) 749-4734

Gerald Farnell, MD �� (503) 399-2424

Ole Hansen, MD �� (503) 373-1840 Daniel Harris, MD �� (503) 873-1500 John Hayes, MD �� (503) 982-2000 James Heder, MD �� (503) 371-3232 Manya Helman, MD �� (503) 589-1935 Tanie Hotan, MD �� (503) 749-4734 Joseph Huang, MD �� (503) 951-3080

Providing Peace of Mind with comprehensive care

skilled care

personal care

medical alert

counseling

Jeffrey Humphrey, DO �� (503) 623-8376 Rosamund Irwin, MD �� (503) 945-7125 Jacob Jackson, MD �� (503) 361-5400 Karen Johnson, MD �� (503) 371-3232 Lance Jungwirth-Large, MD �� (503) 769-2641 Randell Jura, MD �� (503) 399-7607

Home Health Care (503) 371-4567 Skilled Nursing Physical Therapy Occupational Therapy Speech Therapy

In Home Personal Care (503) 375-2273 Chore & companion care Incontinence care Shower, bathing & dressing Medication assistance

Michael Kelber, MD �� (503) 391-6615 Johan Kohler, DO �� (503) 399-2424 Faith Koschmann, MD �� (503) 845-2000 David Krier, MD �� (503) 703-4745 Andrea Larson, MD �� (503) 873-4531 Robert Larson, Jr., MD �� (503) 873-8923 Steven LaTulippe, MD �� (503) 623-5430 Jonathan Lindgren, MD �� (503) 717-7000 Ian Loewen-Thomas, MD �� (503) 399-2424 William Lucas, MD �� (503) 623-1200

InFocus Counseling (503) 371-7393 Child, adult and family counseling options

Lifeline (503) 551-2681 Emergency medical alert system and monitoring

Paul Neumann, MD �� (970) 221-0883 Anne Nunes, DO �� (503) 399-2424 Gwendolyn Oran, MD �� (503) 361-5400 Donald Orwick, MD �� (503) 399-2424 Ronald Palm, DO �� (503) 393-0540 Mark Patton, DO �� (503) 362-9334

OR-0000331948

Niels Pedersen, MD �� (503) 399-2424

Family Practice

MEDICAL DIRECTORY Forensic Psychiatry

Paul Perrin, MD �� (503) 877-1995

Donald Dravis, MD �� (503) 378-2446

Sarah Peters, MD �� (503) 873-6987

Andrew Nanton, MD �� (503) 945-2853

Timothy Peters, MD �� (503) 873-6987

Scott Reichlin, MD �� (503) 910-3612

Juliette Power, MD �� (503) 982-2174

Liban Rodol, MD, JD �� (503) 945-2870

Harvey Price, MD �� (503) 302-3556

Simrat Sethi, MD �� (503) 945-2800

Tracy Read, MD �� (503) 982-2174 Gina Remington, MD �� (503) 623-8151 Brett Robinson, MD �� (503) 581-8899 Bradley Roemeling, MD �� (503) 361-5400 John Rollings, MD �� (503) 559-3169 Deborah Sailler, MD �� (503) 361-5400 Clinton Sanford, MD �� (503) 873-2770 Mark Sauerwein, MD �� (503) 588-0076 Jeanne Savage, MD �� (503) 982-2000 Mark Scherlie, DO �� (503) 371-3232 Michael Schiferl, MD �� (503) 990-8772 Steven Shelton, MD �� (503) 378-5530 James Stageman, III, MD �� (503) 873-1500

Gastroenterology Patrick Birbeck, PA �� (503) 584-3222 Richard Brandes, MD �� (503) 399-7520 Roger Epstein, MD �� (503) 874-2427 Lawrence Gates, Jr., MD �� (503) 399-7520 Katherine Hoda, MD �� (503) 399-7520 Patricia Kao, MD �� (802) 847-2554 Robert Ponec, MD �� (503) 399-7520 Gregory Potter, MD �� (503) 361-5400 Edward Schultheiss, MD �� (503) 399-7520 Srinivasan Subramanian, MD �� (503) 399-7520

General Practice

Carrie Allison, MD �� (503) 561-5200 Peter Bernardo, MD �� (503) 585-6586 Catherine Boulay, MD �� (503) 399-2424 Muthalib Cassim, MD �� 971-983-5200 Glena Caton, MD �� (503) 399-2424 George Clarke, MD �� (503) 364-6843 Christine Clarke, MD �� (503) 364-6843 Beth Dayton, MD �� (503) 364-6843 Kristopher Dozier, MD �� (503) 361-5400 Jonathan Durning, MD �� (503) 364-6843 Kai Engstad, MD �� (503) 371-4044 Joseph Evans, MD �� (503) 361-5400 Ronald Jaecks, MD �� (503) 361-5400 Jiyoun Kim, MD �� (503) 399-2424 Gloria Marlowe, MD �� (503) 315-5795 Robert McGreevy, MD �� (503) 769-3785 Gordon Moe, MD �� (503) 390-1954 Everett Mozell, MD �� (503) 399-2424 Rajan Nair, MD �� (503) 399-2424 Jordan Raymer, MD �� (503) 873-1500

Leslie Stevens, DO �� (503) 361-5400

Neal Berner, MD �� (503) 986-4825

Jeffrey Stoessl, MD �� (503) 399-2424

Ivan Dassenko, MD �� (503) 581-7379

Fay Seppala, MD �� (503) 769-3785

Mark Surbaugh, MD �� (503) 399-2424

Olwyn Davies, MD �� (503) 873-5331

Alison Smith, MD �� (503) 831-0784

Katie Tihanyi, MD �� (503) 362-1314

George Degner, MD �� (503) 373-1840

Tracy Taggart, MD �� (503) 561-2448

Alicia Tonnies, MD �� (503) 361-5400

Bruce Duffy, DO �� (503) 371-2260

Michael Vanronzelen, MD �� (503) 364-6843

Jeffrey Turcot, MD �� (503) 588-5892

Paula Eschtruth, DO �� (503) 585-5155

Harris Waters, MD �� (503) 873-5310

Mark Vanderburgh, MD �� (503) 399-2424

John Kulus, DO �� (503) 838-3665

Benjamin Wilson, MD �� (503) 399-8105

Thomas Vanveen, MD �� (503) 990-8772

Scott Miller, MD �� (503) 588-1234

James Walker, MD �� (503) 845-2000

Mark Nurre, MD �� (503) 304-7600

Paul Weaver, DO �� (503) 371-3232

Gary Stanford, MD �� (503) 982-3781

Patricia Weeks, MD �� (503) 399-2424

John Vargo, DO �� (503) 378-2302

Thomas Weiser, MD, MPH �� (503) 304-7642 Keith White, MD �� (503) 838-1133

General Surgery

Loring Winthrop, MD �� (503) 399-2424 Pamela Witherspoon, MD �� (503) 304-7600

Nancy Boutin, MD �� (503) 561-5294

Karla Wottge, DO �� (503) 838-8313

Robert Scott, DPM �� (503) 370-8784

Gynecology Deborah Johnson, MD �� (503) 585-9695

Hospice & Palliative Medicine

Robert Willey, MD �� (503) 623-6650

Foot and Ankle Surgery

Shanjian Zhu, MD �� (503) 361-5400

Vicki Seller, MD �� (503) 315-5710

Joseph Whitson, DO �� (503) 364-8151

Timothy Zuk, MD �� (503) 399-2424

Geriatric Medicine Syed Zaidi, MD �� (503) 561-1823

(503) 391-1110 5050 Skyline Village Loop, S Salem, OR 97306 www.drsclinic.com Eric Laro, MD

(503) 391-1110

Beverly JeffsSteele, DO �� (503) 588-3600 Jennifer Neahring, MD �� (503) 561-3133 Sheila Sund, MD �� (503) 378-1388

Hospital Administration William Holloway, MD �� (503) 561-5290 Martin Kehrli, MD �� (503) 986-4991

MEDICAL DIRECTORY

Infectious Diseases

Cliffton Bong, MD �� (503) 595-0777 John Girod, MD �� (503) 585-0777

Internal Medicine

(503) 391-1110 5050 Skyline Village Loop, S Salem, OR 97306 www.drsclinic.com Jeffery Brown, MD

(503) 391-1110

Linda Cunningham, MD

(503) 391-1110

Robert Davies, DO

(503) 391-1110

Robert Hejl, MD

(503) 391-1110

Hoa Hoang, MD

(503) 391-1110

Christian Duren, PA-C

(503) 391-1110

Patricia Stupfel, ANP

(503) 391-1110

Gloria Alexander, MD �� (503) 399-2424 Beata Anasz-Kopecka, MD �� (503) 361-5400 Hernan Avella, MD �� (503) 561-5200 Howard Baylies, Jr., MD �� (503) 364-6400 Mary Beland, MD �� (503) 361-5400 Ulista Brooks, MD �� (503) 945-7125 Michael Buck, MD �� (503) 399-7520 Heather Burgin, MD �� (503) 399-2424 Douglas Carney, MD �� (503) 540-0304 Stephen Carp, DO �� (503) 399-2424 Chad Carr, MD �� (503) 485-4787 Robin Chandler, MD �� (503) 399-2424 Mudasir Chisti, MD �� (800) 410-4142 Curtis Climer, MD �� (503) 981-9526 Barry Coplon, MD �� (503) 361-5400 Christian Devaux, DO �� (503) 399-2424 Bukhosi Dube, MD �� (503) 561-5200 Sharon Eder, MD �� (503) 986-4989 Makkalearn Em, MD �� (503) 399-7520 Flora Fazeli, MD �� (503) 413-7711

Elana Fedor, MD �� (503) 362-9334

Bharat Rattan, MD, MPH �� (503) 561-5437

Kamran Firoozi, MD �� (503) 588-3945

Aleatha Reitsma-Mathias, MD (503) 391-1110

Mark Fischl, MD �� (503) 399-2424

Neal Rendleman, MD �� (503) 945-2800

Yasutake Fuke, MD �� (503) 561-5200

Lori Rumbaugh, MD �� (503) 982-0403

Michael Gaither, DO �� (503) 561-5200

Barney Saunders, MD �� (503) 945-7175

Ahmad Gill, MD �� (503) 561-5200

Richard Segal, MD �� (503) 561-5400

William Gillespie, III, MD �� (503) 399-2424

Christian Speer, MD �� (503) 566-4546

Maurice Golden, III, MD �� (503) 982-0403

Robert Steele, MD �� (503) 585-6388

Kathleen Harder, MD �� (503) 399-2424

David Tate, MD �� (503) 399-2424

Harold Harmon, MD �� (503) 362-9334

Heidi Thomas, MD �� (503) 371-3232

Patricia Anne Haro, MD �� (503) 561-5200

Natasha Tiffany, MD �� (503) 561-6444

Harmon Harvey, Jr., MD �� (503) 362-6304

Drissana Tran, MD �� (503) 588-3600

Mayer Horensten, DO �� (503) 945-2853

Anna Varghese, MD �� (503) 370-5200

Jon Hughes, MD �� (503) 371-7703

Jeffrey Wang, MD �� (503) 399-2424

Richard Hunt, MD �� (503) 361-5400

James Wasenmiller, MD �� (503) 585-5585

Paul Huun, MD �� (503) 399-2424

Kathleen Weiss, MD �� (503) 990-8774

Elisabeth Jappay, MD �� (503) 362-9335

Walter Whitman, MD �� (503) 362-9033

Patricia Jimenez Mendez, MD (503) 585-6388

Richard Woods, MD �� (503) 361-5400

Anneliis Juurma, MD �� (503) 361-5400

Sunny Yadav, MD �� (503) 561-5200

Priya Kansal, MD �� (503) 561-7171

Ourania Yue, MD �� (503) 798-4200

Scott Keith, MD �� (503) 561-5200

Eleanor Zawada, MD �� (503) 982-0403

Laslo Kolta, MD �� (503) 362-1314

Interventional Cardiology

Gregory Lackides, MD �� (503) 399-2424 Jacqueline Logan, MD �� (503) 947-9003 Swati Mehta, MD �� (503) 561-5913

Maziar Azadpour, MD �� (503) 485-4787

Maxillofacial Surgery

Carmelo Mejia, MD �� (503) 361-5400

James Eyre, Jr., MD �� (503) 581-1999

Natalie Melrose, MD �� (503) 561-5200

David Swiderski, MD �� (503) 581-0223

Sharon Meyers, DO �� (503) 986-5100

Medical Oncology

Brett Mikeska, MD �� (503) 561-8565

Charles Petrunin, II, MD �� (503) 561-6444

Debbie Miller, MD �� (503) 362-9335

John Strother, MD �� (503) 561-6444

Manisha Mittal, MD �� (503) 945-2800 Utpal Mondal, MD �� (503) 561-3333 Wenn Ng, MD �� (503) 561-5200 Chris Nobis, MD �� (503) 364-3556 Cynthia Nocek, MD �� (503) 378-7526 Claire Norton, MD �� (503) 561-5200 James Parosa, MD �� (503) 588-3945

Nephrology Andreea Andone, MD �� (503) 561-8565 Lance Dicker, MD �� (503) 561-8565 Eva Lee, MD �� (503) 561-8565 Misha Mohindra, MD �� (503) 561-8565

Neurological Surgery

Steven Paulissen, MD �� (503) 362-9334

Robert Buza, MD �� (503) 510-5505

Preethi Prakash, MD �� (503) 561-5200

Mauricio Collada, Jr., MD �� (503) 581-5517

James Pritchard, DO �� (503) 986-4962

Valerie Coon, MD �� (503) 581-5517

Denis Privalov, MD �� (503) 561-8572

Jerry Hubbard, MD �� (503) 399-1386

Kishan Ramachandran, MD �� (503) 561-5200

John White, MD �� (503) 378-0265

Kavan Ramachandran, MD �� (503) 588-3945

Julie York, MD �� (503) 561-7240

Neurology

MEDICAL DIRECTORY

Sherif Al-Hawarey, MD �� (503) 561-4000 Elizabeth Bjornskov, MD �� (503) 763-5917 Anton Coleman, MD �� (503) 561-5200 Benton Davidson, MD �� (503) 585-0575 Richard Lowenthal, MD �� (503) 584-1128 Henry Nino, MD �� (503) 873-1722

Alvie Richardson, MD �� (503) 561-5531 Mark Rowley, MD �� (503) 873-7920 Steven Samawi, MD �� (503) 361-5400 Cara Streit, MD �� (541) 387-8940

Susan Taylor, MD �� (503) 769-9522 David West, MD �� (503) 588-7525

Occupational Medicine

John Pidgeon, MD �� (503) 561-5200

Michael Adams, MD �� (503) 370-4836

Neuromuscular Medicine

Marcus Braman, MD �� (971) 983-5433

Heidi Loganbill, MD �� (503) 856-0111

Neuroradiology Jared Sadler, MD �� (503) 399-1262 Edwin Wang, MD �� (503) 588-2674

Nuclear Medicine John Overbeck, MD �� (503) 967-7418

Obstetrics & Gynecology Darcy Blanchard, DO �� (503) 399-2424 Michael Bowen, MD �� (503) 399-2424

Robert Ingle, Jr., MD �� (503) 370-4867

John Ballard, MD

(503) 540-6300

Kevin Walters, MD �� (503) 370-4867

Harold Boyd, MD

(503) 540-6300

John Coen, MD

(503) 540-6300

Mark Dolan, MD

(503) 540-6300

Robert Fan,MD

(503) 540-6300

Mark Foglesong, MD

(503) 540-6300

Kelly McCormick, MD

(503) 540-6300

Jeffrey Knight, MD

(503) 540-6300

David Pressman, MD

(503) 540-6300

Dan Sewell, MD

(503) 540-6300

Malcolm Snider, MD

(503) 540-6300

Sudeep Taksali, MD

(503) 540-6300

Richard Tobin, MD

(503) 540-6300

Stephen Yao, MD

(503) 540-6300

Monica Zilkoski, MD

(503) 540-6300

Robert Zirschky, MD

(503) 540-6300

Nicole Bangs, PA-C

(503) 540-6300

Kevin Bell, PA-C

(503) 540-6300

Jaimie Caiazzo, PA-C

(503) 540-6300

Dan Cunliffe, PA-C

(503) 540-6300

Jenn Holt, PA-C

(503) 540-6300

Michelle Lewis, PA-C

(503) 540-6300

Oncology Edward Orlowski, MD �� (503) 561-6444

Ophthalmology

Medical Center Eye Clinic

Denis Dalisky, MD �� (503) 873-8853 Sophie Dojacques, MD �� (503) 779-8957

U. John Berzins, M.D., L.L.C. 503-581-5287

Dawn Estelle-Vinecki, DO �� (503) 566-4535

Robert E. Tibolt, M.D.

Frederick Frank, MD �� (503) 399-2424

Marcus A. East, M.D., L.L.C. 503-581-5287

Sheila Goldsworthy, MD �� (503) 399-2424

Ryan W. Lapour, M.D., L.L.C. 503-581-5287

Yuen Chau, MD �� (503) 399-2424 Laura Chong, MD �� (503) 399-2424

503-581-5287

John Hannig, MD �� (503) 562-2229 Robert Harder, MD �� (503) 399-2424

Alan Bengtzen, MD �� (503) 361-2329

Elizebeth Harmon, MD �� (503) 399-2444

Samuel Farmer, MD �� (503) 371-4350

Ming Hsieh, MD �� (503) 361-5400

Robin Glotzbach, MD �� (503) 361-5400

Thomas Kahan, MD �� (503) 371-0606

Richard Lieurance, MD �� (503) 361-5400

Barbara Keller, MD �� (503) 873-8853

Gordon Miller, MD �� (503) 363-1500

Ralph Lewis, MD �� (800) 972-7207

Richard Neahring, MD �� (503) 585-2022

Cheryl Lugenbill, MD �� (503) 399-2424

David Rowell, MD �� (503) 585-2022

Heather Mackay-Gimino, MD � (503) 814-4582

Edmund Servais, MD �� (503) 371-4350

Judy Marvin, MD �� (503) 561-5200

Thomas Stevens, MD �� (503) 581-5287

Lavena Morgan-Jahanshir, MD (503) 485-5959

Scott Stice, MD �� (503) 585-2022

Patricia Peterson, MD �� (503) 399-2424

Andrew Westfall, MD �� (503) 371-4350

Jonathan Pugmire, MD �� (503) 763-3660 Brooke Renard, MD �� (503) 873-8853 Lisa Rice, MD �� (503) 561-5200

(503) 540-6300 1600 State Street, Salem, OR 97301 www.hopeorthopedics.com

Howard Tsang, MD �� (503) 362-5242

503-581-5287 655 Medical Center Dr. NE Salem, OR 97301 www.mceyeclinic.com

William Cely, MD �� (503) 562-2229

Orthopedic Surgery

Jo Peyregne-Lollar, MSPAS, PA-C (503) 540-6300 Curt Stilp, PA-C

(503) 540-6300

Chris Stout, PA-C

(503) 540-6300

Patrick Thies, PA-C

(503) 540-6300

Jerry Becker, MD �� (503) 559-2991 Richard Block, MD �� (503) 873-1500 Timothy Borman, DO �� (503) 375-3636 David Forsythe, MD �� (503) 873-1688 Richard Gardner, MD �� (843) 422-5320

MEDICAL DIRECTORY

Orthopedic Surgery

Pathology

Raylene Gordin, MD �� (503) 375-3636

Angela Bohlke, MD �� (503) 362-8385

Michael Hahn, MD �� (503) 361-5400

Alicia Kavka, MD �� (503) 561-5350

Tony Lin, MD �� (503) 763-6581

Mark Magilner, MD �� (503) 561-5350

Brian Puskas, MD �� (971) 983-5369

Rosemary Makar, MD �� (503) 999-3746

John Roberts, MD �� (503) 990-8772

Clark McDonald, MD �� (503) 561-5350

Richard Sandell, MD �� (503) 838-4637

Pamela Smith, MD �� (503) 561-5598

Enoch Shaw, MD �� (503) 480-0485

Penny Vanderveer, MD �� (503) 561-5350

Stefan Sinco, DO �� (503) 561-5356

Daryl Vogel, MD �� (503) 561-5330

Nicolas Stratton, MD �� (503) 769-8470

Debbie Wu, MD �� (503) 561-5350

Gregory Strum, MD �� (503) 508-7651 David Thorsett, MD �� (503) 873-1722 Carolyn Yang, MD �� (503) 370-4311

Otology, Laryngology & Rhinology

Pediatrics Martin Altschul, MD �� (503) 763-5918 Suzanne Bailey, MD �� (503) 362-2481 Hugh Baskin, MD �� (503) 362-2481 Kenneth Carlson, MD �� (503) 364-2181 Suzanne Dinsmore, MD �� (503) 364-2181 Edward Edwards, MD �� (503) 981-9531 Fara Etzel, MD �� (503) 364-2181

(503) 581-1567 3099 River Road South Salem, OR 97302 www.entsalem.com

Antoinette Farah, MD �� (503) 364-2181 Warren Griffin, III, MD �� (503) 362-2481 Brian Gumbs, MD �� (503) 361-5400 Kimberly Heggen, MD �� (503) 364-2181

(503) 400-6492

Jenny Hoelter, MD �� (503) 364-2181

Joseph H. Allan, MD, FACS (503) 400-6492

Erin Hurley, MD �� (503) 540-0288

Bruce C. Johnson, MD

(503) 400-6492

Nina Hyndman, MD �� (503) 362-2481

John S. Donovan, MD

(503) 400-6492

Lillian Iwatsuki, MD �� (503) 399-2424

Gary J. Nishioka, MD, DMD (503) 400-6492

James Jensen, II, MD �� (503) 873-1690

Douglas J. Skarada, MD

(503) 400-6492

Dorin Kemmerle, MD �� (503) 364-2181

Crystal Miyake, AuD

(503) 400-6497

Tina Kitchin, MD �� (503) 945-5812

Matthew Bell, AuD

(503) 400-6497

Vincent Koletar, MD �� (503) 362-2481

Dustin Bronsdon, AuD

(503) 400-6497

James Lace, MD �� (503) 364-2181

Courtney Mwangi, AuD

(503) 400-6497

Michael Marlowe, MD �� (503) 763-3669

Nadine Palmateer, MA, CCC-A (503) 400-6497

Lauren Mcnaughton, MD �� (503) 540-0288

Diana Peterson, AuD

Martin Okpalike, MD �� (541) 667-3400

Clark R. Thompson, MD

(503) 400-6497

Pain Medicine

Alvaro Rey-Rosa, MD �� (503) 361-5400 Melanie Ronai, MD �� (503) 362-2481

Craig Anderson, MD �� (503) 371-4647

Amelia Roth, MD �� (503) 364-2181

John Borgoy, MD �� (503) 361-5400

Richard Steinberg, MD �� (503) 981-5348

Ahmed Ebeid, MD �� (503) 562-6002

Karin Weiler, MD �� (503) 362-2481

Eugene Hiebert, MD �� (503) 399-9446

Kim Wentz, MD �� (503) 981-5348

Jaime Nicacio, MD �� (503) 814-1281

Thomas Wilson, MD �� (503) 362-2481

Jennifer Wirsig, MD �� (503) 362-2481 Yu Xu, MD �� (503) 361-5400

Physical Medicine & Rehabilitation Cynthia DiMauro, MD �� (503) 561-5200 Todd Holmes, MD �� (503) 370-5200 Linda Jensen, MD �� (503) 986-4985 Rebeca Monreal, DO �� (503) 967-6771 Kaidong Wang, MD, PhD �� (530) 370-5200 Mary Westfall, MD �� (503) 986-4983

Physician Assistant Diana Aby-Daniel, PA �� (503) 399-8105 Lola Achilova, PA �� (503) 982-2000 Kurt Atkin, PA �� (503) 361-5400 Marguerite Ballard, PA �� (503) 981-5348 Reda Bassaly, PA �� (503) 378-7526 Erik Bates, PA �� (503) 399-2424 Francine Boullosa, PA �� (503) 370-4863 Daniel Butler, PA �� (503) 399-7520 Tauni Carter, PA �� (503) 399-8105 Julie Crownover, PA �� (503) 371-4044 Richard Cunliffe, PA �� (503) 540-6300 Michael Cvitash, PA �� (503) 873-1722 Kristianna Daniels, PA �� (503) 361-5400 Mario Diaz, PA �� (503) 399-2424 Amy Ditzel, PA �� (503) 361-5400 Shannon Donovan, PA �� (503) 873-8686 Julie Douglas, PA �� (503) 561-5200 Fredrick Durr, PA �� (503) 399-7474 Rachel Feinberg, PA, MPH �� (503) 873-8686 Kylie Fonteno, PA �� (503) 378-7526 Jennifer Foster, PA �� (503) 399-1400 Scott Frazee, PA �� (503) 371-4044 Kristen Gehring, PA �� (503) 399-8105 Halie Goffrier, PA �� (503) 362-2481 Ann Gould, PA �� (503) 769-2641 Scott, Hall, PA �� (503) 873-8686 Channa Hang, PA �� (503) 588-0076 Jami Herbst, PA �� (503) 589-0565 Juan Herrera Godinez, PA �� (503) 485-4787 Gregory, Hochstein, PA �� (503) 566-4500

MEDICAL DIRECTORY

Physician Assistant

Jami Hoke, PA �� (503) 362-6304 Jennifer Holt, PA �� (503) 540-6300 Joel James, PA �� (503) 463-6799 Jeffrey Jarvi, PA �� (503) 362-2481

Christine Wilson, PA �� (503) 588-0076

James Lisle, DPM �� (503) 588-8188

Donald Winder, Jr., PA, MS �� (503) 371-1010

Michael Matthews, DPM �� (503) 361-5400

Richard Withers, PA �� (503) 838-1133

Tom Mesdag, DPM �� (503) 838-3668

Megan Wolfram, PA �� (503) 561-7240

Richard Peffley, II, DPM �� (503) 370-8784

Angela Young, PA �� (503) 371-3232

Plastic Surgery

Patricia Kenney-Moore, PA �� (503) 990-8772 Cheryl Kuehnel, PA �� (503) 566-4500

Edwin Austin, MD �� (503) 391-7001

Chelsea Lee, PA �� (503) 623-8376

Bruce Carter, MD �� (503) 561-7000

Rachel Lemke, PA �� (503) 873-4115

William Nisbet, MD �� (503) 364-5033

Claudio Lima, PA �� (503) 361-5400 Vanessa Lind, PA �� (503) 588-0076 Chen Ling, PA �� (503) 362-8385 Kimberly Lovato, PA �� (503) 623-2345 Laura Mason, PA �� (503) 485-4787 Harold McLean, PA �� (503) 373-0168

Ruben Pollak, DPM �� (503) 769-7960 Catherine Purdy, DPM �� (503) 585-6122 Robert Stevens, DPM �� (503) 363-0763 Micah Tovey, DPM �� (503) 982-1112

Psychiatry

Podiatry

Richard Bingham, MD �� (503) 584-9922 Nancy Broskie, MD �� (503) 364-7049

Daniel Arrhenius, DPM �� (503) 370-8784

Roselee Cain, MD �� (503) 585-7454

John Callahan, DPM �� (503) 581-2505

Vitaly Chikrizov, MD �� (503) 945-2800

Accessibility...In The Home...and On The Go

Bridget Metcalf, PA �� (503) 763-5939 Heather Morley, PA, MS �� (541) 327-2380 Angila Murray, PA �� (503) 361-5400 Sean Naylor, PA �� (503) 485-4787 Crystal Neideigh, PA �� (503) 838-8313 Lynette Nikkhah, PA �� (503) 749-4734 Silvia Ochoa Sosa, PA �� (503) 588-0076 Karalyn Pazdernik, PA �� (503) 378-7526 Arminia Peyregne-Lollar, PA �� (503) 540-6300 Alison Phillips, PA �� (503) 982-2000 Julia Pulliam, PA �� (503) 623-2345

Homes Services

Chelsea Roberts, PA �� (503) 362-2481

Stair Lifts & Porch Lifts • Assistance Handles • Entry Ramps • Hand Railings •

Ronald Robson, PA �� (503) 315-5793 Heather Rollins, PA �� (503) 393-2533 Susan Rosen, PA �� (503) 684-8252 John Roth, PA �� (503) 364-2181 Stephen Schuman, PA �� (503) 769-6386

Vehicles Services

Jennifer Semmelroth, PA �� (503) 399-7520 Anna Severin, PA �� (503) 623-8376

• Hand Controls • Wheelchair & Scooter Lifts • Wheelchair Accessible Vehicles

Ronald Smith, PA �� (541) 677-4814 Charla Staggs, PA �� (866) 599-3376 Damon Stout, PA �� (503) 540-6300 Matthew Summers, PA �� (503) 769-2641

CCB#187428

Veronica Tiburcio-Espinoza, PA �� (503) 982-2000

1-800-214-5520 •

Kari Wattenbarger, PA �� (503) 990-8772

503-838-5520

www.rjmobilityservice.com

Diana Whiteaker, PA �� (503) 364-2181 William Williams, PA �� (503) 378-7526 OR-0000331473

155 “E” Street • PO Box 128 • Independence, OR 97351

Psychiatry

MEDICAL DIRECTORY Psychosomatic Medicine

Daniel Costa, MD �� (503) 561-5761

Rodney Babe, MD �� (503) 581-7700

Edward Daly, Jr., MD �� (503) 362-1999

Jenna Hiestand, MD �� (503) 945-2853

Kay Dieter, MD �� (503) 588-5351 Roger Donovick, MD �� (503) 945-2800 Michael Duran, MD �� (503) 945-8962 Beal Essink, MD �� (503) 276-6224 Michel Farivar, MD �� (503) 945-2800

Public Health & General Preventative Medicine Karen Landers, MD �� (503) 373-3787

Pulmonary Diseases

Steven Fritz, MD �� (503) 945-9044

Steven Marvel, MD �� (503) 588-3945

Rubina Gundroo, MD �� (503) 945-2887

Nimeshkumar Mehta, MD �� (503) 588-3945

Ronald Hofeldt, MD �� (503) 399-1147

Theodore Shultz, MD �� (503) 588-3945

Erum Khaleeq, MD �� (503) 945-7115

John Silver, MD �� (503) 588-3945

Sanyup Lee, MD �� (503) 945-2800 Jeffrey Lenox, MD �� (503) 585-7454 Don Matsunaga, MD �� (503) 378-2438 Beverly Matthews-Brylski, MD �� (503) 945-2800 Richard Mead, MD �� (503) 945-2800 Michael Miller, MD �� (503) 370-5791 Mukesh Mittal, MD �� (503) 945-2800 Thomas O’Grady, Jr., MD �� (503) 945-9276 Eun Park, MD �� (503) 588-5955 Dennis Reynolds, MD �� (503) 399-7083 Rebecca Ricoy, MD �� (503) 362-1999

Joseph Trudeau, MD �� (503) 588-2674

Rheumatology Sleep Medicine Thye Schuyler, MD �� (503) 561-5170 Keifong Seeto, MD �� (503) 585-0575

George Suckow, Jr., MD �� (503) 881-3539

Hyong Shim, MD �� (503) 951-7491

Sports Medicine Daniel Schweigert, MD �� (971) 983-5250

Therapeutic Radiology

Sara Walker, MD �� (503) 945-2800

Matthew Gordon, MD �� (503) 561-5294

Michael Willet, MD �� (503) 798-4204

Matthew Kang, MD �� (503) 561-5135

Robert Wolf, MD �� (503) 561-5761

Margaret Thompson, MD �� (503) 843-2767

Jay Wung, MD �� (310) 867-4653

Theodore Williamson, MD �� (503) 561-5294

Steven Tackett-Nelson, MD �� (503) 362-1999

Ricky Pittman, MD �� (503) 371-8346

Sean Stack, MD �� (503) 399-1262

Robert Stone, DO �� (503) 945-2800

Psychiatry Neurology

Gerald McManama, III, MD �� (503) 585-5585

Kathleen Scanlan, MD �� (503) 399-1262

Lorraine Skach, MD �� (503) 945-9961

Richard Rahe, MD �� (503) 220-8262

Vascular Surgery

Michael Pass, MD �� (503) 494-8311

Martin Johnson, II, MD �� (503) 588-3945

Patricia Zurflieh, MD �� (503) 945-2800

Vascular Neurology Michael Wynn, DO �� (503) 581-7959

Victor Leonardo, MD �� (503) 588-2674

Jerry Schrader, MD �� (503) 370-6363

Janice Veenhuizen, MD �� (503) 362-1999

Bradley Warner, MD �� (503) 561-7100

Kyu Kim, MD �� (503) 399-1262

Daniel Mendez Allwood, MD � (503) 399-0652

Hung Tran, MD �� (503) 585-7454

Roger Nellans, MD �� (503) 763-3620

Christopher Goeser, MD �� (503) 588-2674

Luvy Ruiz-Martinez, MD �� (503) 945-2853

Joseph Thoits, MD �� (503) 390-5637

John Mhoon, MD �� (503) 561-7100

Travis Fromwiller, MD �� (503) 399-1262

Michele Rowley, MD �� (503) 873-7920

Joel Suckow, MD �� (503) 588-5816

Alan Manson, MD �� (503) 361-5400

Radiology

Rebecca Callis, MD �� (503) 399-0652

Daryl Ruthven, MD �� (503) 378-2076

Michael Lemmers, MD �� (971) 983-5252

Urology

David Elkins, MD �� (503) 561-7100 David Elmgren, MD �� (503) 561-7100 Anjana Ganeshappa, MD �� 832-452-8760 Alan Hay, MD �� (503) 561-7100

Dental Technology

Dentist gives patients cutting-edge look at diagnoses

big, flat-screen television hangs on the wall of Salem dentist Dr. Kamran Fattah’s examination room, and it doesn’t take patients long to learn that the TV is not there for distraction. On the contrary, Fattah uses the TV to draw patients into their own dental care. It is part of a high-tech approach he favors that also includes bite meters, 3-D dental imagers and automatic numbing equipment. Fattah will take digital X-rays of his patient’s teeth and then display them on the TV, enlarging them so the patient can take a look. “It helps the patient see what I see,” he said, enlarging an image to display a potential cavity. “It’s really 46 | For Your Health 2013

meaningful for the patient to be involved in the diagnosis.” The dentist also takes photos of patients’ teeth using a special wand camera, and displays those as well. Essentially, patients get the same view that dentists have when they move that little mirror around inside the mouth during examination.

‘‘

I can say,

‘Here’s a picture of this tooth. It has a crack in it here. Does this hurt?’”

BY Dennis Thompson

“It’s not just me saying trust me, that filling your dentist did a year ago is bad. They can see for themselves.” Patients often are drawn in and begin asking questions about features of their teeth that seem unusual. The television also is used to display the results of Fattah’s bite meter, which measures the amount of pressure that a person exerts on different teeth when biting down hard. The meter itself is a sturdy plastic film with markings that resembles an electronic circuit board. The patient bites down, and a representation of their mouth appears on the screen that displays their bite – which teeth receive pressure first, which teeth receive the most pressure, and so on.

By repairing the mouth so that a person’s bite is consistent across all their teeth, dentists can help ease tension headaches, avoid popping jaw joints, and head off broken fillings caused by too much pressure, Fattah said. “The best part of it is, I don’t have to do a little adjustment and then ask, does that feel better?” Fattah said. “Everyone knows when it’s right, because you can see it.” The high-tech jewel of Fattah’s office is a small, self-contained kiosk called CEREC, which stands for CEramic REConstruction. This computer uses photos of a patient’s mouth to create a 3-D model of their bite. CEREC then uses the model to design crowns, replacement teeth, partial bridges or fillings. What’s more, Fattah can actually create the new crowns and teeth in his office, by wirelessly sending the data from CEREC to a milling device set up in a nearby closet.

‘‘

You don’t have to wait two weeks for your new crown. I can design it for you here. One appointment and it’s perfect. It’s a great technology.” “It takes one appointment, about an hour and a half,” Fattah said. Fattah is on the cutting edge of these dental technologies, although he believes most dentists will be using them in the future. He figures about 12 percent of Salem-area dentists use CEREC, and knows of two other dentists that use a digital bite meter. “There have been truly amazing advances in dental technology in recent years,” he said. “For our practice, it all works because we want every patient to be able to see what’s going on and take part in their own dental care.” For Your Health 2013 | 47

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DENTAL DIRECTORY

Ruth Abraham, D.D.S. �� (503) 390-1100 Michelle Aldrich, D.M.D. �� (503) 391-9016 Francis Allen, D.M.D. �� (503) 588-6560 Reid Amborn, D.M.D. �� (503) 581-8141 Gaetano Amico, Jr, D.M.D. �� (503) 585-7888 Gerald Anderson, D.M.D. �� (503) 393-9106

Deanne Baptiste, D.M.D. �� (503) 981-9531 Brad Bateman, D.M.D. �� (503) 364-7232 William Bateman, D.M.D. �� (503) 375-0007 Marie Baumgartner, D.D.S. �� (503) 393-5133 Thomas Bell, D.D.S. �� (503) 399-7460 Athena Bettger, D.M.D. �� (503) 375-9282 Kris Blodgett, D.M.D. �� (503) 981-1841 Timothy Boehm, D.M.D. �� (503) 585-5205 Gary Boehne, D.M.D. �� (503) 363-9993 Bruce Boer, D.D.S. �� (503) 364-9422 Paul Bonar, D.M.D. �� (503) 581-4615 Victoria Bonar, D.M.D. �� (503) 581-4615 Chris Bowman, D.M.D. �� (503) 585-3636

Cody Cirac, D.D.S. �� (503) 364-9422

William Girsch, Jr, D.D.S. �� (503) 585-3636

Jennifer Clemens, D.M.D. �� (503) 391-2219

Margaret Giruc, D.D.S. �� (503) 581-2446

Christel Cochell, D.M.D. �� (503) 585-8688

Rachel Glancy, D.M.D. �� (503) 588-6560

Travis Cochell, D.M.D. �� (503) 585-8688

Daren Goin, D.M.D. �� (503) 769-3366

Cheryl Cooper, D.D.S. �� (503) 585-1458

Jeffrey Gries, D.M.D. �� (503) 769-5611

Sean Cooper, D.D.S. �� (503) 363-5865

Robert Grim, D.M.D. �� (503) 370-8030

Jonah Cooper-Leavitt, D.M.D. (503) 837-0512

Renee Guillen, D.D.S. �� (503) 375-9282

Steven Cowgill, D.M.D. �� (503) 363-9637 Mark Cruise, D.M.D. �� (503) 364-7944

Jennifer Harms, D.D.S. �� (503) 588-6560

Thomas Davis, Jr, D.M.D. �� (503) 623-2653

Rita Hartley, D.M.D. �� (503) 378-5804

Kregg Delange, D.M.D. �� (503) 370-4313

Michelle Hasbrook, D.M.D. �� (503) 838-2998

Steven Deming, D.D.S. �� (503) 623-2389

David Hatch, D.M.D. �� (503) 362-3032

Wallace Dick, D.D.S. �� (503) 393-3233

James Hayden, Jr, D.M.D. �� (503) 363-3311

Gregory Dilger, D.D.S. �� (503) 378-0466

O. Lee Hazen, D.M.D. �� (503) 585-7447

Roger Dow, D.M.D. �� (503) 363-1712

Weston Heringer, Iii, D.M.D. �� (503) 364-7545

Sunny Drake, D.M.D. �� (503) 385-8821

Ben Hoerner, D.M.D. �� (503) 378-2320

Steven Duffin, D.D.S. �� (503) 393-5133

Joel Hopkin, D.M.D. �� (503) 375-2000

Thomas Dugan, D.M.D. �� (503) 370-7651

Kenneth Horn, D.M.D. �� (503) 769-5210

Mary Beth Bowman, D.M.D. �� (503) 981-1360

Sarah Elrabaa, D.D.S. �� (503) 566-3398

Nathan Braxmeyer, D.M.D. �� (503) 873-8614

Michelle Euzent, D.D.S. �� (503) 315-0712

Luther Bullock, Jr, D.D.S. �� (503) 587-9949

James Eyre, Jr, D.M.D. �� (503) 581-1999

Katherine Farrell, D.M.D. �� (503) 982-7777

Spencer Campbell, D.M.D. �� (503) 370-4311

Kamran Fattah, D.M.D. �� (503) 585-4282

Steven Campbell, D.D.S. �� (503) 399-0721

Jennifer Frankel, D.M.D. �� (503) 463-4663

Alan Carter, D.M.D. �� (503) 873-8335

Robert Friess, D.M.D. �� (503) 585-0101

Barton Carter, D.M.D. �� (503) 588-2404

Donald Fromherz, D.M.D. �� (503) 393-2696

Maureen Catipon Calvo, D.D.S. (503) 982-2010 Holly Chamberlain, D.D.S. �� (503) 363-0027

Sean Hanson, D.M.D. �� (503) 391-2848

Allison Daniels, D.M.D. �� (503) 370-4860

Craig Ellison, D.D.S. �� (503) 873-6118

R. Jeremy Haider, D.M.D. �� (503) 363-3311

Kathryn Bowman, D.M.D. �� (503) 981-1360

Timothy Burns, D.D.S. �� (503) 769-9699

Stephen Hough, D.D.S. �� (503) 363-6525 Charles Howard, D.D.S. �� (503) 363-5962 Scott Howe, D.M.D. �� (503) 370-7651 David Howerton, D.M.D. �� (503) 375-2000 Benjamin Hunsaker, D.M.D. �� (503) 363-2536

Travis Hunsaker, D.D.S. �� (503) 363-2536

Marc Iwahiro, D.M.D. �� (503) 393-2264

Rodney Janssen, D.D.S. �� (503) 393-6286 William Johansen, D.D.S. �� (503) 363-3311 Bryan Johnson, D.D.S. �� (503) 362-9548 Cole Johnson, D.M.D. �� (503) 967-6665

Brian Gilmore, D.D.S. �� (503) 364-7502

Dennis Johnson, D.M.D. �� (503) 581-9419

Matthew Chase, D.M.D. �� (503) 873-8614

Kelly Gilmore, D.M.D. �� (503) 364-7502

Randall Jones, D.M.D. �� (503) 838-0434

Kevin Christiansen, D.D.S. �� (503) 363-6500

Vernon Gilmore, D.M.D. �� (503) 364-7502

Ryan Judd, D.M.D. �� (503) 393-6286

Daniel Chung, D.D.S. �� (503) 588-6560

Fred Girod, D.M.D. �� (503) 769-4321

Arwinder Judge, D.D.S. �� (503) 463-4000

DENTAL DIRECTORY

Lloyd Karst, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 378-1212

John Laseter, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 588-9700

Philip Comerford Mann, D.D.S. (503) 363-1661

Francis Kaufman, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 363-0411

Linda Le, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 885-8275

John Martin, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 585-8420

Gabriel Kennedy, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 375-2000

Robert Lee, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 585-2440

Albert Maziarz, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 581-9211

Allen Kerr, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 981-4095

Nahmjee Lee Skarada, D.M.D. (503) 581-1567

Kathleen McCann, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 945-9240

Tara Khalil, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 588-6560 Michael Kim, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 873-3530 Wendell King, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 588-0061 Michelle Kirkpatrick, D.M.D. ï¿½ï¿½ï¿½ (503) 362-8359 Alan Kolb, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 623-8010

Biao Li, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 364-7776 Steven Lind, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 566-7000 Theresa Lindquist, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 363-0622 Michael Litchfield, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 364-7244 Scott Loman, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 581-9419 Anthony Lucio, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 362-8359 Ray Lunt, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 364-9515

John McDonald, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 585-5400 Travis McFee, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 587-9633 Jennifer Marie McLeod, D.M.D. ï¿½ (503) 390-4117 Martin Mehr, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 371-6000 Mark Menes, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 378-2320 Stephen Mercer, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 588-0116 E Merzenich, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 585-7447

( $ ! &! & ) & .

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Gregory Miller, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 373-0891 John-David Miller, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 581-1569 Joshua Moffitt, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 588-6560 David Moline, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 399-0724 Mark Montgomery, D.M.D. ï¿½ï¿½ï¿½ï¿½ (503) 559-6388 Selma Moon, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 391-6021 Monte Morgan, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 362-7869 Weston Morrill, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 623-6616 Mark Mullenbach, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 982-2010

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Steven Murata, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 363-6500

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Timothy Murphy, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 378-2320

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Edward Muth, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 362-3723

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Megan Muth-Larson, D.M.D. ï¿½ï¿½ (503) 362-3723

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Bryan Nakagawa, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 581-2454

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B Nelson, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 769-5210

" & & & & "&!- ! & & ! -

Kenneth Murray, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 370-8787

Peter Nguyen, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 587-9949 Gary Nishioka, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 581-1567

Daniel Oâ&#x20AC;&#x2122;Leary, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 588-7800 Holly Oâ&#x20AC;&#x2122;Shea, D.M.D. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 375-9282 Ioane Ofisa, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 589-4515 Thalia Ohara, D.D.S. ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ (503) 375-2206

DENTAL DIRECTORY

Vanessa Olson, D.D.S. �� (503) 588-6560

John Seifert, D.M.D. �� (503) 585-4281

Jennifer Owens, D.D.S. �� (503) 378-1212

Bruce Sellers, D.M.D. �� (503) 363-8466

P John Pak, D.D.S. �� (503) 370-4843 Thomas Palandech, D.D.S. �� (503) 588-7800 Donald Paluska, Jr, D.M.D. �� (503) 362-5019 Marc Andre` Panet-Raymond, D.D.S. (503) 362-3719 William Payne, D.M.D. �� (503) 364-9222 Steven Peck, D.M.D. �� (503) 362-6456 Megan Peterson, D.M.D. �� (503) 390-4117 Richard Pfau, D.M.D. �� (503) 362-9151 Shauna Pier, D.D.S. �� (503) 845-6891 Raleigh Pioch, D.D.S. �� (503) 399-0220 William Porter, D.M.D. �� (503) 587-9949 Kendall Pyper, D.D.S. �� (503) 874-9119

R Daniel Rabe, D.M.D. �� (503) 588-6960 Reuben Ramillosa, D.D.S. �� (503) 364-7812 Lady-Jean Ramsey, D.M.D. �� (503) 393-6286 Tricia Ray, D.M.D. �� (503) 363-1661 Amanda Reavely, D.D.S. �� (503) 399-0220 Sean Reisig, D.D.S. �� (503) 581-9552

James Shelton, D.M.D. �� (503) 581-1142 Gregory Shook, D.M.D. �� (503) 378-5528 John Shurtz, D.D.S. �� (503) 838-1800

Leslie Wheeler, D.D.S. �� (503) 623-2666 Robert White, D.D.S. �� (503) 588-6560 David Willis, D.M.D. �� (503) 364-3004

Cory Smith, D.M.D. �� (503) 769-3366

Kenneth Winokur, D.M.D. �� (503) 838-1633

Kristen Smith, D.M.D. �� (503) 363-0031

Nadia Winstead, D.M.D. �� (503) 399-7718

Nicholas Alexander Smith, D.M.D. (503) 982-2010

Lisa Wipf, D.M.D. �� (503) 364-7275

Sean Smith, D.D.S. �� (503) 364-0646

Benita Wong, D.D.S. �� (503) 363-3311

O’Neill Solanky, D.D.S. �� (503) 364-3980

Christine Woodward, D.D.S. �� (503) 378-1984

James Southworth, D.M.D. �� (503) 371-7487

Matthew William Woolsey, D.M.D. (503) 623-8010

Jordan Sparks, D.M.D. �� (503) 363-5432

Jay Wylam, D.M.D. �� (503) 585-4281

Robert Staley, Jr, D.D.S. �� (503) 399-4743 H. Clayton Stearns, D.M.D. �� (503) 378-1334 Marcus Stones, D.M.D. �� (503) 581-9026 Carl Stubblefield, D.M.D. �� (503) 588-7800 Ben Sutter, D.M.D. �� (503) 463-4663 David Swiderski, D.D.S. �� (503) 581-0223

T Timothy Tanada, D.M.D. �� (503) 945-2958 Jennifer Taylor, D.D.S. �� (503) 304-7631 Richard Teel, D.D.S. �� (503) 581-1569

X Na Xu, D.D.S. �� (503) 587-9919

Y Russell Yamada, D.M.D. �� (503) 508-6560 Klint Yeck, D.M.D. �� (503) 363-4774 Stephen Yenne, D.M.D. �� (503) 362-0500 Joni Young, D.M.D. �� (503) 581-8004 Trenton Young, D.D.S. �� (503) 363-0292

Mark Thomas, D.M.D. �� (503) 362-3032

Charles Zemanek, D.M.D. �� (503) 378-1984

Mark Rogers, D.M.D. �� (503) 362-1515

David Thompson, D.M.D. �� (503) 769-3246

Kent Zerr, D.M.D. �� (503) 370-8778

Abigail Rollins, D.M.D. �� (503) 362-8364

Ronda Trotman Reese, D.M.D. (503) 363-4774

Stephanie Rose, D.M.D. �� (503) 371-2424

Tai Truong, D.M.D. �� (503) 378-1334

David Ross, D.M.D. �� (503) 363-6892

Misty Trybom, D.D.S. �� (503) 370-4313

Kimberly Ross, D.D.S. �� (503) 391-9016

Paul Turgesen, D.M.D. �� (503) 838-5051

Krista Richey, D.D.S. �� (503) 363-5865

S Richard Sale, D.M.D. �� (503) 708-5865 Daniel Saucy, D.M.D. �� (503) 399-0724 Jay Schofield, D.M.D. �� (503) 362-0500

U Jeffrey Ulmer, D.M.D. �� (503) 540-9041

Gary Schoonover, D.M.D. �� (503) 390-2421

Roger Van Santen, D.D.S. �� (503) 769-6351

Joshua Schuyler, D.M.D. �� (503) 982-5315

Brian Van Voorhis, D.D.S. �� (503) 393-2651

Joseph Seare, D.M.D. �� (503) 370-8788

Jeremy Vistica, D.M.D. �� (503) 759-3333

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PHYSICAL THERAPIST DIRECTORY D

Craig Hawkins, PT �� (503) 390-9009 Philip Haworth, PT �� (503) 561-5930

Daniel Adels, PT �� (503) 393-8741

Monte Daniel, PT �� (503) 561-6969

Christina Alba, PT �� (503) 364-5313

Brent Darrington, PT �� (503) 623-9676

Jennifer Allen, PT �� (503) 561-5999

Matthew Davis, PT �� (503) 623-5581

Diana Henry, PT �� (503) 845-9226

Carmen Anglin, PT �� (503) 769-3123

Andrea Deem, PT �� (503) 561-5967

Sara Hill, PT �� (503) 799-2275

Joshua Deese, PT �� (503) 623-2901

Michael Hmura, PT �� (503) 371-8860

Gary Anglin, PT �� (503) 769-3123 Christa Antrim, PT �� (503) 540-6472 Laura Aspinwall, PT �� (503) 561-5940

Bonnie Bahler, PT �� (503) 838-4244 Jason Ball, PT �� (541) 602-4423 Bethany Banke, PT �� (503) 540-8701 Sherrill Beck, PT �� (503) 623-7305 Angela Beckner, PT �� (503) 845-9226 Melissa Berry, PT �� (503) 561-5291

Theodore Holm, PT �� (503) 769-3499

Bailey Denno, PT �� (503) 371-0779

Virginia Holman, PT �� (503) 982-8544

Erin Devoy, PT �� (503) 779-1021 Sadie Dicker, PT �� (503) 561-5200

E Analee Edlefsen, PT �� (503) 371-8860 Helen Evans, PT �� (503) 378-7434

F Josiah Faville, PT �� (503) 585-4824 Judith Fevec, PT �� (503) 385-4621

Kay Blachly, PT �� (503) 540-6471

Christine Frank, PT �� (503) 561-6963

James Bourdet, PT �� (503) 371-4567 Pamela Bowen, PT �� (503) 566-7700 Linda Bowers, PT �� (503) 561-5291 Cody Buckner, PT �� (503) 561-5986 Ashley Buffington, PT �� (503) 540-6471

Matthew Hennings, PT �� (503) 540-6471

Kate Deese, PT �� (503) 561-5200

Kyle Bidgood, PT �� (503) 391-5542

Jeffrey Blanchard, PT �� (503) 585-4824

Kirk Heald, PT �� (503) 561-5986

I Kerstin Ilg, PT �� (503) 561-5986 Daryl Ivins, PT �� (503) 371-4800

J Renee James, PT �� (503) 371-0779 Eileen Johnson, PT �� (503) 763-5955 Evan Jones, PT �� (503) 378-7434

K Cynthia Kemper, PT �� (503) 315-4662 Adam King, PT �� (503) 873-5362 Jamelle King, PT �� (503) 561-5999

Johnny Galver, PT �� (503) 566-7782

Sean Knight, PT �� (503) 561-2405

Erica Gandolfo, PT �� (503) 561-5291

Takashi Kochi, PT �� (503) 561-5291

Sascha Gervais, PT �� (503) 385-4669

Luke Kohley, PT �� (503) 769-7131

Michael Gibbons, PT �� (503) 678-7897

Cathy Kosboth, PT �� (503) 561-2934

Bianca Giganti, PT �� (503) 561-5200

Courtney Krause, PT �� (503) 371-4567

Kara Burbach, PT �� (503) 371-8860

Andrea Gilbertson, PT �� (503) 623-2433

Mark Kucey, PT �� (503) 561-5974

Margaret Burden, PT �� (503) 561-6906

Lisa Gilbertson, PT �� (503) 463-5231

Jeffrey Kundert, PT �� (503) 585-5131

Clara Burich, PT �� (503) 561-5291

Ian Gilkison, PT �� (503) 769-7131

Scot Campbell, PT �� (503) 540-8701 Marissa Catlin, PT �� (503) 974-3467 Michelle Chaffins, PT �� (503) 561-5291

Justin Gleed, PT �� (503) 585-4824 Jason Gough, PT �� (503) 561-5986 Francis Gurnee, Jr, PT �� (503) 371-4567

Elena Chong, PT �� (503) 364-5313

Sarah Hall, PT �� (503) 561-5986

Joshua Christopherson, PT �� (503) 838-4244

Richard Hammerquist, PT �� (503) 371-7246

Kelley Clark, PT �� (503) 561-1908

Janelle Hanni, PT �� (503) 623-7305

Catherine Coen, PT �� (503) 540-6472 Brad Collins, PT........................971-983-5206 Sharon Crowley, PT �� (503) 361-5400

Julianna Harder, PT �� (503) 561-5999 Jennifer Hartford, PT �� (503) 763-3525 Troy Hattan, PT �� (503) 623-7305 Carol Hauth, PT �� (503) 769-7131

L Gijsbert Laport, PT �� (503) 540-5316 Leah Latta, PT �� (503) 838-2403 Janelle Lefore, PT �� (503) 371-4567 Maureen Lenz, PT �� (503) 385-4642 Keely Linn, PT �� (503) 371-1655 Heidi Linnebach, PT �� (503) 982-0232 Cody Lommen, PT �� (971) 235-1623 Grant Long, PT �� (503) 566-7700 Juan Lopez, PT �� (503) 561-5200 John Lowry, PT �� (503) 561-6946 Gary Lund, PT �� (503) 581-8667

PHYSICAL THERAPIST DIRECTORY Leigh Reece, PT �� (503) 763-3525

Susan Trantham, PT �� (503) 540-6479

Michelle Reisig, PT �� (503) 769-3123

Teresa Treinen, PT �� (503) 393-3624

Logan Richardson, PT �� (503) 371-8860

Jennifer Truax, PT �� (503) 540-6477

Giselle Roedel, Pt �� (503) 540-8701

Julie Tucker, PT �� (503) 561-5974

Anne Martz, PT �� (503) 399-3101

Mellet Romero, PT �� (503) 371-4567

Robyn Tynan, PT �� (503) 371-8860

Andrea Maurer, PT �� (503) 364-9850

Renske Rose, PT �� (503) 371-8860

Vincent Maurer, PT �� (877) 230-3885

Olin Royer, PT �� (503) 315-4662

David McDarby, PT �� (503) 399-1135

Nancy Royse, PT �� (503) 371-0779

Julia Magee, PT �� (503) 371-4567 David Marquis, PT �� (503) 982-8544 Bryn Martinez, PT �� (503) 561-5967

Brent McLeod, PT �� (503) 463-5231 Margie McNamara-Hibner, PT (503) 561-5999

V Andrea Van Campen, PT �� (503) 873-1717 Matthew Van Campen, PT �� (503) 873-1594 Jane Vanbishler, PT �� (503) 399-3101 Lori Vanlith, PT �� (503) 371-0779

Jillian Mears, PT �� (503) 370-8284

Patricia Saier, PT �� (503) 845-9226

Elizabeth Miramon, PT �� (503) 561-6962

Ayako Sakata, PT �� (503) 399-1135

Benjamin Mitchell, PT �� (503) 371-4567

Linda Schaffner, PT �� (503) 990-8627

Karina Montgomery, PT �� (503) 845-2736

Kimberly Visser, PT �� (503) 845-9226

Angela Schoenheit, PT �� (503) 763-3525

Jon Moore, PT �� (503) 769-7131

Rolf Vognild, PT �� (503) 623-1844

Brenda Schrage, PT �� (503) 561-5992

Marilyn Von Foerster, PT �� (503) 365-7554

N Eric Nelson, PT �� (503) 371-4567 Gayle Nelson, PT �� (503) 845-9226 Caryl Nicol, PT �� (503) 371-4567 Mindy Nolan, PT �� (503) 845-2736 Janet Noland, PT �� (503) 763-3825

Phillip Segura, PT �� (503) 838-1388 Ryan Seifert, PT �� (503) 364-9850 Megan Seney, PT �� (503) 561-5291 Elizabeth Shirley, PT �� (503) 508-5032 Nicholas Siewert, PT �� (503) 371-8860 Julia Speck, PT �� (503) 551-5782 Devin Sproed, PT �� (503) 399-3101 Ashley Stanford, PT �� (971) 983-5206

Marissa Veik, PT �� (503) 561-5291 Noel Vercoutere, PT �� (503) 561-5999

W Linda Ward, PT �� (503) 561-5986 Susan Wells, PT �� (503) 769-3123 Camas Weraky, PT �� (503) 363-6770 Brady Whetten, PT �� (503) 371-0779 Bryce Williams, PT �� (503) 845-9226 Cindy Williams, PT �� (503) 485-1666 Thomas Williams, PT �� (503) 400-6110

Gina Paine, PT �� (503) 363-6770

Matthew Stensrud, PT �� (503) 623-2433

Halle Wilson, PT �� (503) 838-0001

Laura Paquet, PT �� (503) 769-3123

Derek Stokes, PT �� (503) 561-5986

Jayne Wilson, PT �� (800) 525-5632

Jennifer L Pennington, PT �� (503) 399-3101

Justin Stuart, PT �� (503) 845-9226

Anna Perry, PT �� (503) 371-0779

Mike Studer, PT �� (503) 371-0779

Janet Perry, PT �� (503) 845-2736

Jenna Sturzinger, PT �� (503) 463-5231

Julie Pflug, PT �� (503) 561-5291

Lyndsay Stutzenberger, PT �� (503) 588-6633

Michael Pierce, PT �� (503) 371-8860

William Sullivan, PT �� (503) 361-5400

Gina Pieretti, PT �� (503) 364-9850 Steven Pitman, PT �� (503) 588-6575 Carolyn Popma, PT �� (503) 845-9226 Amy Predeek, PT �� (503) 561-5200 Bruce Priem, PT �� (503) 763-5955

R Rhett Randall, PT �� (503) 845-2736 Theresa Raudsepp, PT �� (503) 845-2736 Lori Reaney, PT �� (503) 982-0232

T Angie Taibbi, PT �� (503) 561-5291 Darcy Tataryn, PT �� (503) 990-8627 Kathleen Thelander, PT �� (503) 371-4567 Brittany Thiemens, PT �� (503) 585-5131

Y Ashleigh Young, PT �� (503) 463-4221

Z Delbert Zacher, PT �� (503) 540-6472 The preceding directory includes physical therapists with active licenses practicing in Marion and Polk counties. .................................... ................ .......................

Katrina Thomas, PT �� (503) 364-9850 Ly Tieu, PT �� (503) 982-0232 Jason Tippets, PT �� (503) 561-5291 Scott Tisler, PT �� (503) 585-4824 Trent Tompkins, PT �� (503) 561-6902

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CHIROPRACTIC DIRECTORY H

Terrence Hansen, DC �� (503) 362-8892

Gregory Albright, DC �� (503) 390-5552 Christopher Allen, DC �� (503) 874-9355

Patrick Hart, DC �� (541) 327-2222

Jordan Ambrose, DC �� (503) 470-0072

Abigail Heppner, DC �� (503) 391-9222

Patrick Arden, DC �� (503) 769-2801

Brian Herren, DC �� (503) 763-3528

Jeffery Baker, DC �� (503) 304-2225 Christopher Beardall, DC �� (503) 982-6925 Sunita Bhasin, DC �� (503) 390-1552 James Biser, DC �� (503) 391-9222

Charles Holton, DC �� (503) 623-3903

Laurie Hubbell-Smith, DC �� (503) 480-0200

Andrew Isaksen, DC �� (503) 391-9112

Theresa Pitcairn, DC �� (503) 841-3252 Roger Popp, DC �� (503) 981-1254

Harlem Quijano, DC �� (808) 647-4271

Brett Renquist, DC �� (503) 910-6823 John Renquist, DC �� (503) 585-1282

Robin Schaefer, DC �� (503) 678-2277 Del Schaeffer, DC �� (503) 362-1023

Keith Boline, DC �� (503) 393-0321

Catherine Jaquith, DC �� (503) 365-8399

John Schmidt, DC �� (503) 873-3641

Donald Bowers, DC �� (503) 623-4090

Craig Johnson, DC �� (503) 585-1026

Douglas Schubert, DC �� (503) 581-7138

Dennis Burlison, DC �� (503) 859-2181

Brian Joynt, DC �� (503) 577-5920

Brent Seifert, DC �� (480) 717-0995

C Zohra Campbell-Bolduc, DC �� (503) 370-9090 Kelly Chapman, DC �� (503) 623-2225 Russell Colgan, DC �� (503) 364-5751 Daniel Cook, DC �� (503) 585-2585 Carol Cooper, DC �� (503) 393-6071

Guruka Khalsa, DC �� (503) 362-2623 Michael Kirkland, DC �� (503) 831-4668 Steven Koc, DC �� (503) 365-8399

John Lawton, DC �� (503) 581-7590

Daniel Côté, DC �� (503) 873-8099

Richard Layman, DC �� (503) 362-5500

Ronald Crockett, DC �� (503) 371-9796

Donald Leary, DC �� (503) 371-9593

Lloyd Cummings, DC �� (503) 581-0873

Peter Lind, DC �� (503) 581-6846

D Gary Dahlstrom, DC �� (503) 585-4131

M Ryan McCormic, DC �� (503) 304-2225

Steven DeShaw, DC �� (503) 981-4591

Colleen McDonough, DC �� (503) 485-0830

Mark Diaz, DC �� (503) 838-1951

Tomas McFie, DC �� (503) 588-8657

Trevor Douglass, DC �� (541) 390-3096

Lyndon McGill, DC �� (503) 362-5555

Ann Durrant, DC �� (503) 873-4226

Geary Michels, DC �� (503) 399-7607

Michael Dutton, DC �� (503) 763-3528

Daniel Miller, DC �� (503) 981-4591

James Dyson, DC �� (503) 361-3949

David Milroy, DC �� (503) 363-6868

E John Ewanyk, DC �� (503) 378-0068

F Herbert Freeman, DC �� (503) 393-3133

Jeffery Moll, DC �� (503) 769-5411 Sam Moursalian, DC �� (503) 779-4243

Patrick Owen, DC �� (503) 589-0700

Brent Smith, DC �� (503) 378-0068 Damon Spink, DC �� (503) 391-0848 Brian Stearns, DC �� (503) 364-9910

Kristine Tallman, DC �� (309) 373-3789 Gideon Tarnasky, DC �� (503) 838-6491 Gary Taylor, DC �� (503) 409-9543 Sharon Thornton, DC �� (503) 838-3466 Alpheus Thornton, Jr., DC �� (503) 838-3346

Christina Torres, DC �� (503) 315-8448

Joseph Vance, DC �� (404) 661-8833

James Wallace, DC �� (503) 581-1801 James Warner, DC �� (503) 390-1144 David Weaver, DC �� (503) 390-5552 Ronny Webb, DC �� (503) 981-1267 John Whitmire, DC �� (503) 363-3483 John-Paul Whitmire, DC �� (503) 362-1002 Christian Wissinger, DC �� (503) 588-6633 Joshua Wolfram, DC �� (503) 689-1216

John Palmer, DC �� (503) 378-0068

David Gasser, DC �� (503) 362-7064

Richard Peterson, DC �� (503) 371-4055

Benjamin Gifford, DC �� (503) 588-3100

Anthony N Pham, DC �� (503) 463-6131

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For Your Health 2013 | 57

health care academia

College in Lebanon trains new physicians

ost folks have heard of Oregon Health & Science University, but fewer know that Oregon has a second school located in Lebanon that is training future physicians. The College of Osteopathic Medicine of the Pacific – Northwest Campus just took on its third class of medical students in August, boosting its current enrollment to more than 300. The college will graduate its first class in 2015. “We’re still not that well-known,” said Dr. Paul Aversano, professor of internal medicine and neurology as well as clinical education site director at the college. “There are still people who are surprised to learn that there’s a second medical school in Oregon.”

‘‘

We have a strong need particularly in our rural

‘‘

communities to identify and recruit physicians.

The college is located next to Samaritan Lebanon Community Hospital and housed in a $15 million, 55,000-square-foot medical building owned by Samaritan and leased to the college. It’s a private college and receives no taxpayer support. The college opened in 2011, driven by Oregon’s need for more doctors and the desire of the California-based Western University of Health Sciences to expand into the Pacific Northwest. Western University’s first campus, the College of Osteopathic Medicine of the Pacific in Pomona, Calif., normally takes 50 new medical students each year from the Pacific Northwest. “They would train their first two years in the classroom down in California, and then for their second two years they would come back to the Northwest and get clinical training,” Aversano said. “They figured, ‘We already have these 50 students coming from the Northwest,

58 | For Your Health 2013

BY Dennis Thompson

why don’t we just start a second site?’ At the same time, Samaritan Health Services CEO Dr. Larry Mullins had been pondering the need for more physicians in Oregon, particularly in the state’s rural areas. “While our state medical school does a great job of producing physicians, there’s a limited number of them. We knew we were going to have a tremendous demand for practitioners, particularly in the wake of health care reform.” Mullins heard that Western University was looking for a new location in the Pacific Northwest, and Samaritan just happened to have a section of land in Lebanon that it planned to develop into a health sciences campus. The rest is history.

‘‘

It’s pretty spectacular, and

‘‘

the medical school is the anchor of it all.

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The college produces doctors of osteopathic medicine, or DOs, who are full-fledged physicians but different from doctors of medicine, or MDs. Both groups of medical students receive virtually the same education and training. The main difference comes in philosophy, with osteopathy focused more on prevention. “We tend to look at the person and how that disease is affecting that particular person,” Aversano said. “We aren’t chasing the disease. We’re looking at the person and disease together. It’s a more holistic approach.”

• Board-Certified Podiatric Physician & Surgeon

DOs also focus on the musculoskeletal system and can perform a type of manipulation similar to that done by chiropractors, although chiropractors are not actual doctors like DOs and MDs. The campus has been a boon to Lebanon, Mullins said. Along with the college, the campus now hosts an urgent care center, a fitness and wellness center, a pharmacy, a credit union and a dialysis center. Under construction on the campus are an Oregon Department of Veterans Affairs medical building, a conference center and a hotel complex. More importantly, the students trained in Oregon are more likely to become physicians serving in Oregon, Mullins said. He noted that of a recent class of medical students completing their residency at Samaritan, the six residents who planned to be primary care physicians are all taking jobs here. “That’s a huge win for our state, to have that many physicians stay in the area,” he said.

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Evidence Based Medicine

Evidence-based treatments most effective in physical therapy

It’s an approach also being adopted by some physical therapists, said Jeff Blanchard, clinic director of Valley Physical Therapy – South, in Salem. “We don’t treat people with certain techniques just because we’ve always used those techniques,” Blanchard said of the evidence-based approach to physical therapy. “We always have to re-evaluate what we do so we can make sure we are giving patients the best and most up-to-date care.” Ultrasound therapy and electrical stimulation treatment are two examples of techniques that Blanchard’s clinic abandoned as a result of evidence-based medicine. 60 | For Your Health 2013

“We took an opportunity to investigate ultrasound and whether it really speeds the healing of a tendon injury, and most recent literature really does not support it,” Blanchard said. “There are plenty of therapists out there who still do a lot of ultrasound, but the literature does not support it, so we don’t do it.” On the other hand, his clinic has adopted a new treatment called Low Back Pain Revolution because research has shown its effectiveness. The back therapy matches a patient’s symptoms and physical condition to one of three types of treatment. Depending on their state, the patient may have to receive lots of hands-on joint manipulation from the therapist, or they may be asked to perform exercises that strengthen muscles or relieve pressure on joints and nerves. “With low back pain, the evidence shows if you have low back pain and

BY Dennis Thompson

you get in to see a physical therapist who does the correct approach, you will be able to resolve that pain and prevent future episodes,” Blanchard said.

‘‘

A lot of people when they have low back pain just sit on it and expect it will go away. The literature shows you can save thousands of dollars, taking that (proactive) approach..

‘‘

vidence-based medicine has become a very important concept in health care, with providers trying to control costs by making sure patients receive treatments that are backed by solid proof of their effectiveness.

Physical therapy clinics that adopt an evidence-based approach will hold regular meetings to discuss cases.

They take certain cases and assign staff members to review the literature to figure out the best treatment options for those injuries. Blanchard urges patients to talk with their physical therapist to figure out whether they use an evidence-based approach. They also should investigate whether their physical therapist has furthered their education, either by undergoing a residency following school or applying for additional board certifications.

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503.588.5000 â&#x20AC;˘ 2475 Commercial St SE â&#x20AC;˘ www.AcuraofSalem.com 25

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Rothâ&#x20AC;&#x2122;s Makes Finding Organic and Gluten Free Products Easy! Did you know organic gluten-free foods can be found in almost every aisle of Rothâ&#x20AC;&#x2122;s stores? They have introduced dedicated tags to help you identify Organic and Gluten-Free pre-packaged foods, baking ingredients and more! There are hundreds of great tasting, affordable, quality brand items bearing Organic or Gluten-Free shelf tags. This ever expanding variety of products including pasta sauces, marinades, barbecue sauces, salad dressings, culinary stocks, ready-to-eat breakfast cereals, snack foods and more.

Look for the Tags!

Our gluten-free tag is only a guide to assist you in your shopping for products available for your dietary needs. Ingredients may change, so always read the label and/or check with the manufacturer. We have made every effort to be as accurate as possible; however, we cannot be held responsible for individual reactions to any products, nor can we guarantee the absence of crosscontamination. The information provided is for educational purposes only.

How

Highest Quality.

Low Can

Half the Radiation Dose.

Go?

With half the radiation dose and the best quality 64-slice CT scan available, discover how Salem Radiology is making a difference in patient safety.

Insist on the Low-Dose Option

There are long term radiation exposure risks from CT that can be substantially diminished by the low dose C.T. technology now available at Salem Radiology Consultants. SRC’s state of the art scanner is the only C.T. machine in the MidWillamette Valley using this new and improved technology.

A literal “head to head” comparison study of CT radiation dose among local medical imaging facilities clearly demonstrates SRC has the highest quality and lowest CT radiation in the region. 2925 Ryan Dr SE, Salem (503) 399-1262 salemradiology.com