Nathan Bowers, MD, is originally from Peoria, Illinois. He spent summers growing up working on his grandpa's farm and learned that he loves working with his hands. He has been going to the Rocky Mountain West for several weeks each year since he was five to ski, raft, and enjoy the outdoors. Dr. Bowers is so excited to be permanently located in the Northwest to enjoy all it has to offer. Dr. Bowers' philosophy as a doctor is that he wants to provide the highest quality, evidence-based care for his patients. He advises patients as he would a family member and helps guide them to the decision that fits them best. He wants to be able to care for all of his patient's upper extremity problems from shoulder to fingertip.His advice to patients regarding maintaining a healthy lifestyle is that it is important to stay active and moving. The time to seek care is when the problem is interfering with work or recreation. Dr. Bowers loves his job because he gets to help people get back to their occupation, their hobbies, and the things that make life worth living.In his free time, Dr. Bowers loves spending time with his wife, a pediatrician, and son, exploring the outdoors, and trying new cuisines and foods. Dr. Bowers is rated as an Advanced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are Carpal Tunnel Syndrome, Rhizarthrosis, Dupuytren Contracture, and Trigger Thumb.

Megan L. Charboneau, MD, is board certified in physical medicine and rehabilitation (PM&R) with a subspecialty certification in sports medicine. She has special interest in injuries unique to the female athlete, diagnostic and interventional musculoskeletal ultrasound, and non-operative treatment of musculoskeletal injuries of the shoulder, elbow, pelvis, hip, knee, and ankle including chronic tendon disorders. Her goal is to involve patients in their treatment plan, provide individualized care and return them back to their desired level of activity. Dr. Charboneau is one of few physicians in the area to offer TENEX – a breakthrough technology for the treatment of chronic tendon pain.Dr. Charboneau grew up in Missouri where she completed medical school and her PM&R residency. She moved to Milwaukee, WI, to complete her sports medicine fellowship and joined the orthopedic department at the Medical College of Wisconsin. Most recently, Dr. Charboneau relocated to the Pacific Northwest to be near family and enjoys exploring the area with her husband, daughter and son. Dr. Charboneau is rated as an Advanced provider by MediFind in the treatment of Tennis Elbow. Her top areas of expertise are Frozen Shoulder, Bursitis, Tendinitis, and Tennis Elbow.

Wendy Heusch, DO, is a Pacific Northwest native, originally from Oregon. She graduated from the University of Puget Sound where she played volleyball on the 1993 NAIA Championship team. Her orthopedic training has taken her from West Coast to East Coast and although she enjoyed each area of the country, she believes there is no place quite like the Northwest.Her practice interests include treating all sports related injuries, with special interests in the shoulder and knee. She completed an Arthroscopy and Sports Medicine Fellowship at Orthopedic Research of Virginia in Richmond, Virginia where she learned from some of the most respected arthroscopic surgeons in the country about the latest techniques in arthroscopic surgery and sports medicine. These include all arthroscopic surgery of the rotator cuff and other disorders of the shoulder including dislocations and instability, as well as ACL surgery of the knee. She is also experienced in treating work related injuries of the shoulder and knee. She understands the unique circumstances surrounding work related injuries and helps her patients navigate the L&I process.Dr. Heusch has pursued and obtained subspecialty board certification in Orthopedic Sports Medicine. This subspecialty certificate is for board certified orthopedic surgeons who have demonstrated qualifications in sports medicine beyond those expected of other orthopedic surgeons. This includes additional training, a practice characterized by a volume of cases in sports medicine, and by passing an exam administered nationally by the AOBOS.Being an athlete herself, she enjoys treating the needs and injuries of all types of athletes, from high school players to the recreational athlete. She has also spent a portion of her fellowship with the team physician for the Washington Redskins learning about the care of the professional athlete. Dr. Heusch enjoys being a part of the Rainier Orthopedic Institute team and serving the Puyallup community.In her free time, Dr. Heusch enjoys gardening and throwing pottery, and spending time outdoors. She is also an avid supporter of local animal rescues.“I believe in treating my patients as a whole person and that there is more to being healthy than just the absence of disease. By looking beyond just the symptoms and by considering all aspects of a patient’s lifestyle, I strive to work with my patients as part of a team so we can better understand and work towards accomplishing their goals.” – Dr. Wendy Heusch, DO. Dr. Heusch is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. Her top areas of expertise are Frozen Shoulder, Tendinitis, Bursitis, Hip Replacement, and Knee Replacement.

Eric Puttler, MD, is a board-certified orthopedic surgeon who performs anterior approach total hip arthroplasty, knee arthroplasty, knee arthroscopy to include ACL reconstruction, shoulder arthroscopy to include rotator cuff repair, and provides fracture care to include distal radius fractures, collarbone fractures, and proximal humerus fractures. After completing his residency in orthopedic surgery he had several duty assignment in the US Army, including a year in Iraq in command of a Forward Surgical Team. Dr. Puttler has three beautiful daughters who keep him and his wife busy. He enjoys snow skiing, waterskiing, and all that the Pacific Northwest has to offer. Dr. Puttler is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are Osteoarthritis, Tendinitis, Bursitis, Hip Replacement, and Knee Replacement.

John Howlett, MD, is a board-certified, fellowship-trained orthopedic surgeon with a special interest in fracture care. He has completed additional fellowship training in hand and upper extremity surgery, including trauma, reconstruction, pediatric as well as microvascular surgery.He likes to remind himself that the origin of the Latin word “doctor” is “teacher,” and he considers it an important part of his role as a doctor to educate his patients about the conditions that are affecting them. He believes an informed and knowledgeable patient can participate more effectively in his or her own healing. As a former teacher who holds a master’s degree in education, Dr. Howlett deeply enjoys this aspect of working with patients.One of the experiences that shaped his career trajectory was his work as a counselor at The Hole in the Wall Gang Camp, founded by Paul Newman for children with cancer and other blood-related disorders. Witnessing the courage and energy of these children convinced him that healing involves more than medication and surgery. This experience led him to pursue his medical degree, where he saw an opportunity to combine his interest in caring for people with his passion for teaching.Having grown up in Washington enjoying hiking, backpacking, sailing, and canoeing, Dr. Howlett was eager to return to the Northwest for his residency and fellowship training. He now shares these same passions with his family. He and his wife both played soccer in college and can be found cheering on their two daughters at soccer games on the weekends. Dr. Howlett is rated as an Advanced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are Carpal Tunnel Syndrome, Trigger Thumb, Ganglion Cyst, Rhizarthrosis, and Hip Replacement.

Daniel Steward is a primary care provider, practicing in Family Medicine in Bonney Lake, Washington. Dr. Steward is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are Acute Cystitis, Cellulitis, Chronic Cough, and Peptic Ulcer.

Kam Vaziri, MD, is a board-certified internal medicine physician offering patient-centered primary care for adults.Dr. Vaziri believes all patients deserve to be treated as he would treat a family member, with respect and a high quality of care. His practice is based heavily on the four pillars of bioethics: autonomy, beneficence, nonmaleficence and justice. He is particularly interested in providing care to underserved communities.Dr. Vaziri is a member of the American College of Physicians.Outside of work, he enjoys tennis, soccer and backpacking globally. Dr. Vaziri is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are High Cholesterol, Familial Hypertension, Glucocorticoid-Remediable Aldosteronism, Vitrectomy, and Trabeculectomy.

Dr. Sandall received her medical degree from the University of Maryland School of Medicine in Baltimore, Maryland. She completed her medical residency at the San Antonio Uniformed Services Health Consortium in San Antonio, Texas, and is board certified in internal medicine.While in the Air Force, Dr. Sandall received medals for Meritorious Service and Achievement. She is a member of the American College of Physicians.Dr. Sandall enjoys outdoor recreation, particularly long walks, and is an avid leisure reader. Dr. Sandall is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. Her top areas of expertise are Type 2 Diabetes (T2D), High Cholesterol, Hypertension, and Glucocorticoid-Remediable Aldosteronism.

Christopher Christiansen, MD, is a board-certified family medicine physician offering primary care for patients age 10 and older. Dr. Christiansen takes a collaborative approach to care. He strives to keep his patients informed and involved in their care, taking care to ensure accurate treatment expectations and empowering them to achieve a sense of control. His ultimate goal is to help his patients to live their lives to the fullest.Dr. Christiansen is a member of the American Academy of Family Physicians.Away from work, Dr. Christiansen enjoys a variety of outdoor activities such as hiking and cycling. He also enjoys learning about wild plants and their uses. Dr. Christiansen is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are Type 2 Diabetes (T2D), Sciatica, Familial Hypertension, and Glucocorticoid-Remediable Aldosteronism.

William Hannay, MD, is a sports medicine fellowship trained orthopedic surgeon. He is passionate about returning athletes from elite prospects to the weekend warrior back to what they love. He specializes in arthroscopic and open operative management of sports injuries of the elbow, shoulder, hip and knee. In addition, he performs total and reverse shoulder replacements, direct anterior total hip replacements and total knee replacements. After finishing his orthopedic surgery residency at the University of Washington he completed his sports medicine fellowship at the renowned Kerlan Jobe Orthopedic Clinic in Los Angeles, CA. While in fellowship he learned state of the art techniques for management of sports injuries and was the was the assistant team physician for the Los Angeles Rams, Los Angeles Dodgers, LA Galaxy, Anaheim Angels, Anaheim Ducks, and Loyola Marymount University Athletics. Outside of medicine, Dr. Hannay enjoys spending time with his wife and family in the outdoors hiking, fishing, camping, mountain biking and snowboarding. Dr. Hannay is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are Bursitis, Tendinitis, Tenosynovitis, and Osteoarthritis.

Michael Franceschina is an Orthopedics specialist and a Neuromusculoskeletal Medicine provider in Federal Way, Washington. Dr. Franceschina is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are Osteoarthritis, Bursitis, Tendinitis, Tenosynovitis, and Hip Replacement. Dr. Franceschina is currently accepting new patients.

John Smoots is a primary care provider, practicing in Internal Medicine in Tacoma, Washington. Dr. Smoots is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are Scoliosis, Urinary Tract Infection in Children, Urinary Tract Infection (UTI), and Osteoporosis. Dr. Smoots is currently accepting new patients.

Craig T. Arntz, MD, is a board-certified orthopedic shoulder specialist with 25 years of experience treating problems that often require shoulder surgery, including rotator cuff tears, instability, fractures, and shoulder arthritis. He has advanced training in shoulder surgery with extensive experience in treating the most complex shoulder disorders. He has particular interest in arthroscopic shoulder repair, rotator cuff surgery and shoulder replacement surgery, including reverse shoulder replacement.Dr. Arntz is also a board-certified hand surgeon, and he is recognized in the Seattle and Renton communities as a shoulder and upper extremity specialist. He is proud to have had thousands of physician and patient referrals.He uses advanced techniques to restore his patients' shoulder and hand comfort and function as quickly and safely as possible. He has co-authored several articles and book chapters about rotator cuff repair and shoulder arthritis reconstruction.He is a native of Seattle. Outside of medicine, he enjoys spending time with his family. He also enjoys snow and water skiing, boating, and travel. Dr. Arntz is rated as an Advanced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are Tendinitis, Bursitis, Tenosynovitis, and Frozen Shoulder.

Nate Nelson, DO, is a board-certified family medicine physician offering patient-centered primary care across the lifespan, from kindergarten onward.Dr. Nelson believes that an ounce of prevention is worth a pound of cure. He also recognizes that each patient is unique, with his or her own circumstances, worries, expectations and goals. Accordingly, he tailors his care to each patient and works in partnership with them to optimize prevention of illness and to improve recovery. His goal is for each patient to be heard, to feel comfortable and confident in his care, and to feel they have a true advocate in an increasingly complex health care world.Dr. Nelson is a member of the American Osteopathic Association and American College of Osteopathic Family Physicians.Away from work, he enjoys outdoor recreation with his wife and kids, and participating in endurance running events such as ultramarathons. Dr. Nelson is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are Fungal Arthritis, Opisthotonos, Muscle Spasms, and High Cholesterol.

Estrelino Velasco, MD, is a board-certified family medicine physician who treats patients of all ages. His medical interests include preventive medicine, hypertension, diabetes and hyperlipidemia.Dr. Velasco believes that doctor and patient are a team, working together to achieve good health, and that each patient has unique needs and responses to treatment. It is his goal to provide competent and compassionate care to each patient he encounters. Dr. Velasco is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are Type 2 Diabetes (T2D), Cirrhosis, Maturity Onset Diabetes of the Young, and Glucocorticoid-Remediable Aldosteronism.

Melanie S. Orencia, MD, is a board-certified family practitioner with special interest in diabetes, hypertension care and performing minor surgical procedures. In addition to her degree and residency, Dr. Orencia completed a five-year training program in general surgery at Ilocos Regional Hospital in La Union, Philippines. She is a member of the American Medical Association and American Academy of Family Physicians.Dr. Orencia believes that medicine can heal not just the body, but also the mind and spirit, and she works to connect with each of her patients as a unique individual. Dr. Orencia is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. Her top areas of expertise are Familial Combined Hyperlipidemia, Xanthoma, Cirrhosis, and High Cholesterol.

Michael Morgan, DO, is a family medicine physician who offers primary care for patients of all ages, with a strong emphasis on preventive medicine. His goal is to foster long-term, collaborative physician-patient relationships that are founded on respect and compassion, that empower patients to make their own health care decisions, and that provide the encouragement necessary to reach their health goals.Dr. Morgan is a member of the American Academy of Family Physicians and American Board of Family Medicine. Dr. Morgan is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are Sciatica, Scoliosis, Seasonal Affective Disorder (SAD), and Generalized Anxiety Disorder (GAD).

Yoojin Park is a primary care provider, practicing in Family Medicine in Puyallup, Washington. Dr. Park is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. Her top areas of expertise are Acute Cystitis, Periorbital Cellulitis, Chronic Pain, and Sciatica.

Claire Harvey, MD, is a board-certified family physician who cares for patients of all ages. Dr. Harvey meets patients where they are, fully addressing their preferences, concerns and any barriers that may prevent them from achieving optimum health. She prefers to engage in a shared decision-making model of care that focuses on education and maximizes choice and patient engagement.Dr. Harvey is a member of the American Academy of Family Physicians and American Medical Association.Away from work, Dr. Harvey enjoys hobby farming and gardening. Dr. Harvey is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. Her top areas of expertise are Familial Combined Hyperlipidemia, Xanthoma, Cirrhosis, and High Cholesterol.

A board-certified family practitioner, Dr. Kevin McKeighen believes in taking a holistic approach to his patient's health, taking into account mind, body and spirit. His medical interests include diabetes, hypertension and migraine headaches.A resident of the Pacific Northwest for more than 10 years, Dr. McKeighen enjoys golfing and hiking in his leisure time. Dr. Mckeighen is rated as an Experienced provider by MediFind in the treatment of Tennis Elbow. His top areas of expertise are Cirrhosis, Macroamylasemia, Familial Combined Hyperlipidemia, and Xanthoma.