Monday - Friday, 7:45am-4:300pm

  Monday - Friday, 8:30am-4:30pm

 Monday - Friday, 8:00am-12 noon & 1:30-4:15pm


Please call 360-736-7623 to schedule an appointment.

To provide continuity in your care, we encourage you to establish with only one of our providers.  If that provider is unavailable at your time of need, one of us will always be on call for emergency care.  Being individuals we do have minor variations in our evaluation and treatment, but we are all dedicated to the most efficacious, practical solution to your individual problems. 

Due to holidays, vacations, etc. it is sometimes difficult for an established patient to be seen immediately, but every true emergency that cannot wait will either be seen in the office or evaluated on the telephone by one of us.  If appropriate, a visit to the emergency room may be recommended.


Appointments are made up to three months in advance, depending on the situation.  If you are unable to keep your scheduled appointment, please notify the office as soon as possible for rescheduling.  You may also leave us a message during non-business hours to cancel your appointment. 

We try to honor your appointment time, for we firmly believe in the value of your time and dislike long waiting periods in the office.  You must understand, however, that in our specialty, emergency patients may cause unforeseen delays.  We request your patience.  If timing is critical to your schedule on a particular day, notify the receptionist and you will be rescheduled.

Scheduling of appointments is based on the information given when you call.  Please state all of the issues you wish to discuss with the provider so that an appropriate amount of time can be scheduled.  Issues not stated at the time of scheduling may need to be addressed at another appointment since extending your appointment will only cause a delay for someone else.  If you have an acute problem and need to be added to the daily schedule, please be patient.  We will see you, but those with scheduled appointments may be seen first.

CANCELING APPOINTMENTS:  If you are unable to keep your scheduled appointment with one of the providers, please call as far in advance as possible so that the time may be scheduled for other patients. A $50.00 No Show fee may be charged if you miss two appointments in a 12-month period and do not cancel 24 hours beforehand.