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Current TFM Residents

First-Year Residents Kayley Alden

Kayley Alden, MD

Home Town: Atlanta, Georgia

Medical School: Emory University School of Medicine

Kayley was born and raised in Atlanta, GA. While completing a degree in Music Performance on the viola at the University of Georgia, Kayley's interest in medicine started when she was volunteering at a local cancer center. She began to dream of medical school after witnessing how physicians cared for and loved their patients. As a student at Emory University School of Medicine, Kayley was struck by the impact of health disparities on patients. Throughout medical school, she had many opportunities to confront these challenges and give back to the community where she was raised, including coordinating a student-run clinic dedicated to providing gynecological services to underserved women in Atlanta and volunteering with a Street Medicine team tasked with caring for our homeless community members. She also seized chances to travel and explore global medicine by providing medical care to children at risk of human trafficking in Thailand and learning about Tibetan medicine and meditation at the Dalai Lama’s residence in India. Through all of these experiences, Kayley became passionate about family medicine, a specialty that would allow her to form close bonds with her patients while exploring her broad interests, including women’s health and maternity care, integrative and preventive medicine, physician wellness, LGBTQ+ care, social medicine, and palliative care.

Kayley fell in love with the Pacific Northwest and Tacoma while driving along Ruston Way on the way to spend an afternoon in Point Defiance Park. When she’s not thinking about medicine, Kayley enjoys spending time with her boyfriend and 2 big dogs, being in the kitchen trying new recipes, and spending time gardening and hiking to gorgeous views. She can’t wait to explore the beautiful PNW and find her community in Tacoma.


Laura Bauleke, MDLaura Bauleke

Home Town: Ventura, California

Medical School: University of Washington School of Medicine

Laura was born and raised in the beautiful coastal city of Ventura, CA. Always inspired by nature, she majored in Geology at Scripps College with the hopes of one day obtaining a fulltime job doing fieldwork by the sea. Armed with perpetual luck, she landed the opportunity to do exactly that and worked with a coastal erosion research study at the Washington State Department of Ecology in Olympia, WA. After a series of serious injury and illnesses within her own family, she decided to switch gears and pursue a career in healthcare. Watching her loved ones navigate repeatedly through difficult medical decisions caused her to consider a career in family medicine –a field where she could provide holistic care to individuals and families. She returned to school to acquire prerequisites for medical school while simultaneously obtaining a license as a medical assistant. Prior to entering medical school at University of Washington, she worked for several years as a medical assistant at Sea Mar Community Health Centers in Bellingham, WA and then later at Family Health Centers in Brewster, WA. These experiences served to cultivate and reinforce her conviction to practice full spectrum family medicine in a rural and underserved community.

Laura is incredibly excited to remain in the Pacific Northwest and join the team at Tacoma Family Medicine. She was drawn to the program for its dedication to full spectrum training, and she has particular interests in obstetrics, women’s health, pediatrics, mental health, and rural and underserved medicine.

She lives life with a side of silly and approaches her day with the mindset that everyone she meets has something to teach her. Outside of medicine, Laura enjoys spending as much time as possible with her amazing husband and acrobatic toddler son. Together they like to adventure outside on trails, visit local parks and library story times, and experiment in the kitchen. Her family tolerates her novice accordion skills and her long list of unfinished sewing projects


Jeneeca Bruce, DOJeneeca Bruce

Home Town: Chula Vista, California

Medical School: Arizona College of Osteopathic Medicine - Midwestern University

Jeneeca grew up in Chula Vista, CA, with her younger brother and parents. Throughout her childhood, she enjoyed taking dance classes (tap & jazz), playing sports (volleyball and track& field) and spending time with her extended family during game nights. Minor injuries suffered through these activities (except for game night) gave her early exposure into the field of medicine. After graduating from San Diego State University with her Bachelor of Arts in Biology, she set her sights on medical school. With her experience of taking care of her father during his cancer treatments and working as a caregiver, Jeneeca fell in love with family medicine. Throughout medical school, she developed a commitment and appreciation for caring for the underserved by volunteering at several homeless shelters with the Homeless Outreach through Medicine & Education (H.O.M.E.) program. She is excited to utilize her compassion, leadership, and dedication that will allow her to serve her new community. 

Jeneeca looks forward to the full-spectrum family medicine training at TFM and the opportunity to explore her interests in women's health, palliative care, addiction medicine, and geriatrics. Outside of medicine, she enjoys spending quality time with her husband and two cats (Bagheera & Kali), watching movies, couponing, knitting, and hiking. 


Kiera Hayes, MDKiera Hayes

Home Town: Seattle, Washington

Medical School: University of Rochester School of Medicine and Dentistry

Kiera grew up in the University District in Seattle, Washington enjoying both the peace and beauty of Ravenna Park and the urban excitement of the U District.  As a child, she planned to be an artist and/or a zoologist, cherishing Zooper Day Camp and Discovery Park Camps, but gradually realized that she was far more interested in the intricate relationship between humans and parasites than just the animals.  Contemplating how human behavior interacts with disease risk and health systems, she decided to pursue Anthropology at Beloit College.  For her semester abroad, she traveled to South Africa to study public health and the relationship between Western, Faith, and Traditional medicine in a rural village.  During her time on this project, she worked in the clinic and realized that as much as she loved public health and anthropology, she wanted to be able to provide health care on a day to day basis as well as to work long term on preventative medicine and health systems.  She could not shake her love of parasites though, and decided to pursue a Masters in Control of Infectious Disease at the London School of Hygiene and Tropical Medicine.  After a year of tropical infectious diseases, program development, and vector control, she completed her thesis in India evaluating new point of care diagnostics for Visceral Leishmaniasis.  While explaining why an interest in neglected tropical diseases would be best served by pursing Family Medicine, she returned to the United States to attend medical school, enjoying participation in Family Medicine and Geriatrics activities. She spent the majority of her free time learning about homeless health issues and partnering with local groups to work towards coordination between medical and social work outreach teams and eventually advocating for housing programs.  She also developed an interest in the health needs of people with intellectual and developmental disabilities and worked on advocacy campaigns with local medical groups.  She continued her interest in global health with a rotation on the Hopi Reservation, and completed her last medical school rotation in Bolivia evaluating the impact of a handwashing education program. 

Kiera is excited to return to the Pacific Northwest and be closer to her family.  She was drawn to the program in Tacoma due to the focus on both urban and rural underserved populations and opportunities to continue working with these populations during residency.  In her free time, she is a “maker” (sewing, drawing, cooking, 3-D printing, knitting) and enjoys hiking, soccer, and yoga.  She is most often found drinking tea, eating chocolate, and reading a book, playing a game (most recently Dungeons and Dragons), or critiquing a movie with friends.  She is excited to join the community at Tacoma Family Medicine!


Kristin Hildebrandt, MDKristin Hildebrandt

Home Town: Yorkville, Wisconsin

Medical School: University of Wisconsin School of Medicine and Public Health

Kristin grew up in Yorkville, Wisconsin. Her curiosity in the health of living beings started by raising and showing chickens through 4-H. She studied Human Biology Health and Society at Cornell University and learned more about the integration between nutrition, human development, and policy. She also completed a research honors thesis on Anti Mullerian Hormone (a reproductive hormone) in chickens.

Before starting medical school, she worked at a Federally Qualified Health Center (FQHC) helping patients understand and navigate the new changes with the Affordable Care Act, Medicaid, and other financial assistance programs.

While at the University of Wisconsin School of Medicine and Public Health, Kristin participated in the Wisconsin Academy of Rural Medicine (WARM). She also completed the path of distinction in public health and earned a certificate in global health with a project looking at agricultural occupational injuries in Guatemala.

Kristin’s professional interests include rural medicine, obstetrics and women’s health, wilderness medicine, and public health and preventative medicine. She enjoys listening to patients and empowering them to make lifestyle changes, in addition to utilizing medication management, to help them reach their goals.

When not in the hospital or clinic, you can find her outside kayaking, hiking or backpacking in the backcountry, completing running or cross country skiing marathons, biking, or snowshoeing. Kristin also enjoys playing the flute, working with Girl Scouts, and bringing a smile to someone’s day.


Courtney Horton, MDCourtney Horton

Home Town: Newport, Maine

Medical School: Tufts University School of Medicine

Courtney grew up and spent most of her life as a Mainer. She is excited to start a new adventure in the Pacific Northwest and Tacoma! She was raised in a rural town in central Maine. She then attended the University of Maine for undergrad where she studied Biology. During her time at UMaine, she applied and was accepted into an early assurance program with Tufts University and Maine Medical Center where she eventually attended medical school. In her free time (while not applying to medical school) she participated in various volunteer organizations like Circle K International and Partners for World Health and studied abroad in Costa Rica. She even shaved her head twice to raise funds for pediatric cancer research! Interested in rural and global health, she pursued a dual-degree as an MD/MPH candidate at Tufts and completed some of her public health coursework in India as well as at the CDC in Maryland. As a third-year medical student, she completed her core clinical rotations in a longitudinal curriculum at a rural site on the coast of Maine where she further developed a passion for primary care.

Once applying to residency, Courtney's sights turned westward where she could find full-spectrum training in Family Medicine. She is particularly interested in surgical obstetrics, reproductive health, palliative care, and rural/underserved medicine. When not studying or working, Courtney enjoys hiking, snowshoeing, reading, various "arts & crafts", and taking care of her numerous houseplants. She is thrilled to be joining the Tacoma Family Medicine community!


Eunice Marpaung, MDEunice Marpaung

Home Town: Loma Linda, California

Medical School: Loma Linda University School of Medicine

Eunice was born in San Bernardino, CA to Indonesian immigrant parents and was raised in Southern California until she moved to small-town Berrien Springs, MI in high school. She completed a degree in English at the University of Michigan and a Master of Biomedical Sciences degree at the Geisinger Commonwealth School of Medicine in Scranton,
PA. The assimilation experiences of her family and of the people she met motivated her to find ways to serve immigrant communities and other vulnerable populations. Eunice volunteered and studied in Panama, Costa Rica, and Guatemala, where she gained working
proficiency in Spanish. While in medical school, she was involved in the student-run mobile clinic visiting shelters and parks and mentored minority high school students.

She was drawn to full-spectrum family medicine because of its potential to meet diverse health needs and promote continuity of care. She is excited to train with physicians who also wish to maximize their skill set and work with underserved populations. Aside from
learning medicine, she enjoys writing, playing the piano, singing Disney songs, solving escape rooms, trying new foods, and growing in her relationship with God.


James McAllister, MDJames McAllister

Home Town: Bainbridge Island, Washington

Medical School: Tulane University School of Medicine 

James was born in Massachusetts and moved out west with his family at five years old. He grew up in Bainbridge Island, WA, where he learned to love swimming in cold water and walks in evergreen forests. For college, he went to the University of Washington, where he majored in political science, and after graduation found a job at the Federal Election Commission in Washington, DC. After deciding he didn't want to work in law or politics, and after many rewarding volunteer experiences in and out of health care in DC, James decided to pursue a medical degree. He went to the University of Virginia to complete his prerequisites for medical school, and found his way down to New Orleans to attend the Tulane University School of Medicine. During his preclinical years, James spent time in student-run clinics, and learned more about the social disparities of health and the need for care among marginalized populations in New Orleans. He also had many leadership positions in student groups that worked to help students deal with mental health and wellness issues, and was active in Tulane's Family Medicine Interest Group. He found all of his clinical rotations interesting, but he particularly enjoyed his family medicine rotation in Ville Platte, LA, deep in the Cajun prairie. James appreciated the long-term relationships with patients and loved the variety of clinical situations he saw in with his preceptor in Ville Platte. He knew that family medicine was the perfect specialty, and that Washington state would be the perfect place to find a residency program. 

James has interests in mental health, adolescent medicine, addiction and recovery medicine, medical education, public policy, and care for underserved populations. He is excited about the full-spectrum training he will receive at Tacoma Family Medicine, and is thankful for the opportunity to work with an incredible group of attending physicians, co-residents, and staff. Outside of medicine, James likes running, cycling, and playing soccer. He is excited to get back to the Pacific Northwest of his youth to explore all that the region has to offer, particularly in the great outdoors. He is lover of all foods (except raisins), loves to cook, and spends his free time with good friends or enjoying a novel on a cozy couch. Additionally, during his time in New Orleans, he discovered a passion for crafting and costuming, which will surely be a useful skill at TFM. 


Second-Year Residents

Kyla Halsor, MDKyla Halsor

Home Town: Dallas, Pennsylvania

Medical School: Penn State College of Medicine

Kyla was born and raised in Northeastern Pennsylvania. As a child she enjoyed being outside hiking and camping with her family, spending any time she could with her older sister, and traveling to visit her extended family in Oregon and Michigan during the summers. After high school Kyla stayed close to home and attended Wilkes University in Wilkes-Barre, PA. Kyla began her college career working towards an elementary education major until she began working at a local rehabilitation hospital as a nursing assistant. It was here working hands on with brain injury and stroke patients she cultivated her interest in medicine and realized this was the path for her. She soon changed her major to biology and began taking classes to fulfill a pre-med tract. After graduating from college, she attended medical school at Penn State in Hershey, PA. Here she enjoyed being involved in and leading the Family Medicine Interest Group in many community outreach and educational events. One of her most rewarding experiences was being involved in Penn State’s Global Health Scholars Program, a 4-year longitudinal global health curriculum, which included travel to Ecuador during both her first and last year of medical school. This experience allowed her the opportunity to not only improve on her Spanish but to fully immerse herself in the health care system in both a very urban and rural setting in Ecuador. This program sparked her interest in global health work as well as reinforced her interest in underserved and rural medicine.

Though Kyla has spent her whole life on the East Coast, she is excited for a new adventure moving to the beautiful Pacific Northwest and joining TFM! She looks forward to the full-spectrum family medicine training at TFM and the opportunity to explore her interests in women’s health, rural and underserved medicine, and global health. In her free time, she enjoys running, baking, doing puzzles, traveling and many outdoor activities such as camping, hiking, and backpacking.


Megan Hatch, MDMegan Hatch

Home Town: Portland, Oregon

Medical School: Oregon Health and Science University

Megan was born and raised in Portland, Oregon and earned her degree in Economics and Mathematics from Boston College. After graduation, Megan was ready for an adventure and joined the Peace Corps as a Community Health and Economic Development Volunteer. She spent the next two years living and working in a tiny, Ugandan village that lacked both running water and electricity. In the village, she provided HIV/AIDS and malaria education and helped local women to start a small business. Next, Megan moved to South Korea to teach English and while there decided to pursue her life’s goal of becoming a doctor. Upon her return, Megan completed a Postbaccalaureate Pre-Medical program at Bryn Mawr College and then moved home to Portland to attend medical school at Oregon Health & Science University. During a rural rotation in Enterprise, Oregon, Megan watched the family docs do it all and knew she had found her calling. Megan is thrilled to have matched into a program with such strong training in full-spectrum care. On her days off, Megan enjoys spending as much time as possible with her husband, daughter and dog, eating delicious food, running and daydreaming about her next travel adventure.


Elizabeth Karin, MDElizabeth Karin

Home Town: Scarsdale, New York

Medical School: Mount Sinai School of Medicine

Elizabeth grew up in a New York City suburb and has spent most of her life on the east coast. She is very excited to be joining the TFM family and living in the Pacific northwest! Growing up, she was involved in sports (soccer, basketball, softball), music, and activism and loved spending time with her family.  She earned her BA in development studies at Brown University focusing on health care and human rights then spent a year working in the Boston area before returning to NYC for medical school at Mount Sinai. Throughout medical school, Elizabeth continued to learn and work at the intersection of healthcare and human rights. She conducted an international research project in Kenya on palliative care and participated in domestic work involving healthcare access, border healthcare, medical evaluation for asylum seekers, and addressing bias and racism in the healthcare system. She is also proficient in Spanish having kept up her skills with formal education and informally through friends and travel abroad. Elizabeth was drawn to family medicine for its focus on treating patients with holistic consideration of all that affects their health and wellness and the opportunity to develop lasting relationships as a primary care doctor. Within family medicine her interests include women’s health, healthcare access, and palliative care to name a few. 

Outside of medicine she enjoys music, movies, cooking, travel, reading, crossword puzzles, and quality time with friends and family. She took up roller derby during medical school and is hoping to keep that up in Tacoma. She is also looking forward to having more opportunities to explore the outdoors in the PNW with hiking, kayaking, and whatever new activities she can find.


Lucas Labine, MDLucas Labine

Home Town: Arden Hills, Minnesota

Medical School: University of Minnesota, Twin Cities

Lucas is a born-and-raised Minnesotan, growing up in the Minneapolis area with his two younger sisters and parents. His childhood consisted of many scenic camping adventures in MN and throughout the continental US, foreshadowing his choice to move closer to the mountains for residency training. At the University of Minnesota, he pursued a degree in Bioproducts Engineering, with an interest in biorenewable resources. However, he quickly learned through a clinical research internship at the Minneapolis Heart Institute Foundation that medicine was a better career fit for him. Before he knew it, he was a first-year medical student at the University of Minnesota, where he learned how much he values patient-orientated care, strong relationships, and variety of both patient populations and medical pathology, especially during his 3rd year clerkships as a Rural Physicians Associate Program (RPAP) student in the town of Waconia, MN.

In his 4 years of schooling he picked up many interests in medicine, such as hospital medicine, obstetrics, clinical research, palliative care, sports medicine, point-of-care ultrasound, and other niches in the field, making family medicine an ideal choice of specialty. He also enjoyed being involved in the medical school and surrounding community, including having leadership positions in the Student Council and Gold Humanism Honors Society. Lucas is beyond thrilled to be starting his career at Tacoma FM to learn full-spectrum care in the beautiful western United States. He is also looking forward to spending time running, hiking, sailing his small 2-seater sailboat, being with loved ones, and exploring the coast.


Matt Novack, MDMatt Novack

Home Town: Kemmore, Washington

Medical School: University of Washington School of Medicine

Matt Novack grew up in Kenmore, Washington, where he enjoyed hiking the trails of St. Edward State Park and swimming in the Seattle Summer Swim League. He attended the University of Washington for undergraduate where he studied Biochemistry with a Minor in Music and played trumpet in the marching band. Prior to starting medical school, he worked as a chemist for a clean drinking water technology company, but quickly realized he liked patients more than polymers.

Matt returned to the University of Washington for medical school and took advantage of opportunities to experience different cities in the Northwest. He spent the first 2-years of medical school in Spokane where he savored the affordable housing and lack of traffic. During his clinical years, he did rotations in Eastern Washington, Alaska, Montana, and Idaho where he developed his interests in addiction medicine and obstetrics, while also finding time to ski. Outside of class, he spent time volunteering with Crisis Text Line as a crisis counselor and House of Charity Homeless Shelter. Matt is grateful to be in Tacoma surrounded by like-minded colleagues who are dedicated to full-spectrum family practice, rural medicine, and primary care in underserved communities.


Marissa Robinson, MDMarissa Robinson

Home Town: Spanish Town, Jamaica

Medical School: University of Iowa Roy. J. and Lucille A. Carver College of Medicine

Marissa was born and raised in Jamaica where she grew up in Spanish Town and spent an inordinate amount of time at the beach. She attended high school in Kingston and it was here that she was spring-boarded into a life of science and dreams of medical school. One of the biggest motivators for Marissa’s interest in medicine was her time caring for her grandmother who lived with her throughout high school. She became profoundly aware of the disparity in healthcare resources between her home town and the more urban areas of her school, which sparked a desire to work in underserved medicine. At eighteen, she was filled with a need to explore more of the world and decided to complete her undergraduate studies in Biology at Grinnell College in Iowa. Her passion for medicine never waned in college but rather became more informed as she learned more about sociological forces of inequity, volunteered in Jamaica and Nicaragua, studied in Denmark and immersed herself in a myriad of mentorship and supportive initiatives for underrepresented students.

A true Midwest convert, Marissa stayed in Iowa to attend medical school at the University of Iowa. She continued to explore opportunities to work in underserved communities both in Iowa City and Jamaica, volunteered in STEM activities across the state, and worked through the Student National Medical Association (SNMA) to develop both recruitment and supportive initiatives for underrepresented students at the University of Iowa. Marissa states that she did not start on the path of Family Medicine, but it was clear by the end of her core year that it was where she belonged. She wanted to move closer to her family on the west coast and realized early on that her goals aligned with those of TFM-a dedication to working with underserved populations, true community involvement and most of all, dedication to full spectrum practice. She is particularly interested in women’s health, family planning, global health and procedural medicine. In her spare time, Marissa enjoys reading, swimming, karaoke, dancing, watching movies and playing with her 2-year old cat, Sir William von Snuggleton.


Audra Stallard, MDAudra Stallard

Home Town: Olney, Illinois

Medical School: University of Missouri School of Medicine

Audra grew up in the small town of Olney, Illinois (known for its albino squirrels). She lived in St. Louis during her high school years, then went to the University of Missouri-Columbia for college. There she majored in Biology and Spanish, worked in an ophthalmology research lab, and led several service trips through Mizzou Alternative Breaks. She stuck around for medical school, and when she wasn’t studying she was involved in MedZou (the student-run free health clinic), SIGHT (MU’s global health interest group), and American Medical Women’s Association, among other things. Audra continued practicing her Spanish throughout medical school, and spent a month studying medicinal Spanish in Ecuador. She has a passion for all areas of family medicine, including obstetrics/women’s health, newborns, underserved medicine, LGBTQ health, geriatrics, palliative care, and everyone in between. She loves the social aspect of medicine, and she is always excited to get to know her patients and their families.

Audra fell in love with the Pacific Northwest when she became acquainted with a friendly seal on the edge of Point Defiance Park. She then found that the people were even nicer than the seals, and she loved the idea of working with this community. She is excited for a new adventure in beautiful Tacoma. Outside of medicine she spends her time swing dancing, reading, playing rugby, doing any outdoor activity, listening to music, cooking, and playing board games.


Manisha Thuparani, MDManisha Thuparani

Home Town: Hyderabad, India

Medical School: University of Washington School of Medicine

Manisha was born in India. She moved to Seattle when she was 13, and stayed in Seattle for undergrad and medical school at University of Washington. She wanted to be a physician since she was five years old because of her grandfather's experience with the healthcare system in India after an accident. While exploring various aspects of medicine during high school and college, Manisha enjoyed the idea of forming long term relationships with patients in primary care. She completed her third year clerkship at Tacoma Family Medicine and loved the program for it's full spectrum family medicine training.  She is excited to be at Tacoma Family Medicine and continue learning from a dedicated group of faculty. Manisha is interested in full-spectrum family medicine with a focus on underserved medicine, women's health and international medicine.

When she is not working, Manisha likes to hike, watch tennis, cook, bake, and play board games. She identifies herself as a huge foodie and likes exploring restaurants around town. Manisha also loves traveling, and traveled to Kenya, Italy and France right before starting residency.


Third-Year Residents

Paige Cummings-Johnson, DO

Home Town: Colchester, ConnecticutPaige Cummings-Johnson 8x10 computer version

Medical School: Edward Via College of Osteopathic Medicine, Carolinas Campus

Paige was born in Colchester, CT but moved to Myrtle Beach, SC at the age of 5, where she learned to master the art of being a “beach bum” leading up to college. She enjoyed playing whatever sport was in season (soccer and tennis being the two favorites) and swam as often as she could. Her inspiration for becoming a doctor began after watching her Grandma care for her bed-bound Grandpa during her childhood. In pursuit of this dream, Paige attended undergrad at Coastal Carolina University in Myrtle Beach (because who wants to leave the beach?), where she majored in Biology, played club soccer, worked as a multi-skilled tech in the Emergency Department, and waitressed at a restaurant on the water to name a few things. Paige developed a growing interest in underserved care and preventative medicine during this time, after going on a medical mission trip to Haiti, as well as suffering the tragic loss of her mother due to medical reasons. These hard experiences turned to passions, which only grew while doing her clinical rotations in the small town of Newberry, SC where she decided that she without a doubt wanted to work in a rural area doing full-spectrum family medicine. It was here that she found the ability to connect with and help her patients was best served through Family Medicine.

Tacoma, WA fell onto Paige's radar for residency when her best friend's husband was stationed there for the Navy. She fell in love with the beautiful outdoors and endless opportunities for adventure while visiting them. After spending more time in Tacoma during medical school, she further fell in love with the area and TFM's program finding that in encompassed all of the values and training she strove for. Paige quickly began to feel at home out west, getting involved in any and all sports she could find in the area. With her love for water and mountains, the Pacific Northwest will undoubtedly continue to have endless opportunities to offer in her spare time. While living in Colorado for a few months during her last year of medical school, she discovered the snow for snowboarding is of a different breed compared to the east coast. When Paige isn't constantly on-the-go, she also enjoys spending quality time with her loved ones, daring adventures into new recipes in the kitchen, and playing with her new-found interest in gardening.


Michelle Happenny, DOMichelle Happenny 8x10 computer version

Home Town: Auburn, Washington

Medical School: Western University of Health Sciences, College of Osteopathic Medicine of the Pacific

Michelle grew up in Auburn, Washington, but moved to Oregon for her undergraduate and medical school studies. She is thrilled to be close to home again for residency at Tacoma Family Medicine! She studied Biology at Oregon State University, toying with the idea of dual-majoring in English in order to write novels versus pursuing the pre-medical route. After taking a Physiology course and becoming fascinated by the intricacies of the human body, she shadowed a physician in the Corvallis, Oregon emergency room and became sold on medicine as a career choice. She attended the College of Osteopathic Medicine of the Pacific Northwest, enjoying the opportunity to help start up a new medical school and experience a more "rural" lifestyle than she previously had known.

During medical school, Michelle came to love Family Medicine because of the variety involved. In addition to caring for patients in various settings - obstetrics, pediatrics, geriatrics, hospital medicine - and performing procedures, she most looks forward to getting to know her patients and their families over time. She also seeks to be involved with her community beyond the clinic or hospital. While in medical school, some of her favorite outreach activities included women's health & preventative care education, volunteering at a local nursing home, and helping to run a mock operating room with 5-year-old "surgeons" at COMP-Northwest's Mini Medical School. Outside of medicine and community service, she enjoys hiking, camping, biking, running, reading, and hanging out with friends and family.


Brianne Huffstetler Rowan, MDBrianne Huffstetler-Rowan 8x10 computer version

Home Town: Port Townsend, Washington

Medical School: University of Washington

Brianne grew up in Port Townsend, WA and is excited to be staying in the beautiful Pacific Northwest for residency at TFM! Growing up, Brianne could usually be found either outdoors (hiking the cascades or sailing in the San Juan Islands) or at her local gymnastics center (where she was a competitive gymnast and later coach). She attended Juniata College, a small liberal arts school in Pennsylvania, where she studied Global Health and French. During college, she spent a year studying abroad in France, and spent summers teaching English and working on cross-cultural community building in a rural village in Northern Thailand. Brianne returned to Washington for medical school, where she participated in the University of Washington’s dual MD-Master of Public Health degree. She is grateful for the opportunities she had during this time, including doing clinical rotations in Montana, working on malnutrition prevention and breastfeeding in rural Vietnam, researching mother-to-child transmission of HIV in Côte d’Ivoire and working at a clinic for migrant workers on the Thai-Myanmar border. Brianne is especially interested in maternal-child health, and hopes to practice full-spectrum medicine with obstetrics in rural parts of the US and abroad. Both her and her husband (who is a local English and ESL teacher) are passionate about learning new languages, working towards social justice, and building strong communities where cultural exchange and diversity is celebrated. On their days off, you’ll find them enjoying the PNW outdoors or perhaps drinking some locally roasted coffee and playing board games (with their cat on their lap) on a rainy day!


J. Nicholas Loomis, MDNick Loomis 8x10 computer version

Home Town: Anaconda, Montana

Medical School: University of Washington

Nick has spent time in most parts of the United States, and has become convinced the best parts rest somewhere between the Puget Sound and the Rocky Mountains. He grew up in the small smelter town of Anaconda, MT, where he enjoyed camping, hiking, skiing, long road trips, and working on his grandfather’s ranch. After high school, Nick attended The University of Montana, where he studied chemistry and Chinese. During college, he worked as a teaching assistant and a building supervisor for freshmen residence halls, both of which helped cultivate his continued love for education and community development. During this time, Nick volunteered in several local clinics, and seeing the amazing relationships that had developed between the physicians and their patients solidified his desire to pursue medicine. Nick attended medical school at The University of Washington, where he explored rural medicine in Alaska, Washington, and his home state of Montana. Through these experiences, Nick has become passionate about full-spectrum practice, and excited to provide medical care to a rural community after residency. His special interests include palliative medicine, teaching, pediatrics, and civic engagement. Hopefully, he will also be able to continue what he learned from his grandfather and start a small hobby farm. Until then, Nick is thrilled to be in Tacoma for residency and to join the wonderful community of Tacoma Family Medicine. In his free time, Nick is excited to practice his very new sailing skills, explore the mountains with his golden retriever Finley, garden as much as he can, and hopefully become a better reader.


Josh Marshak, MDJosh Marshak 8x10 computer version

Home Town: Mount Vernon, Washington

Medical School: University of Washington

Josh grew up on a small island in the Pacific Northwest where he spent much of his childhood in the outdoors with his four siblings. After high school he received his BA in Biology from Macalester College in St Paul, Minnesota. There he also cultivated his interests in the humanities, including Anthropology and Spanish. After his undergrad he returned to Seattle where he conducted herpes immunology research at the University of Washington for four and half years. Josh decided to enroll in medical school so that he could work with families and communities to improve health in rural Washington. To this end he enrolled in the University of Washington's Targeted Rural Underserved Track (TRUST) Program which helped ensure extensive clerkship experiences in rural Washington. Josh is very excited about matching to TFM where he plans to continue to develop a broad primary care skill set including obstetrics in a rigorous, unopposed, academically affiliated residency program. In his free time Josh spends time with his nephews; and  running, biking and cooking with his fiancé Rini, who is currently working on a PhD in Evolutionary Biology at the University of Washington.


Arash Mirzaie, MDArash Mirzaie 8x10 computer version

Home Town: Kerman, Iran

Medical School: International University of the Health Sciences

Arash was raised in a large family with two brothers and two sisters in Iran.  Growing up he was an active child playing soccer, basketball, ping pong and made time for piano lessons. After completing high school, his family made the difficult decision to leave Iran to immigrate to the United States. Arash’s goal was to live in a fair and well-developed country and to work hard toward his dream of becoming a healthcare professional.  On May, 26th, 2003, he had the privilege of entering the United States. Upon arrival at SeaTac airport, Arash needed to purchase a phone card, and quickly came to the realization that his English was basically zero. This experience motivated him to work even harder toward his dream. Arash started ESL classes in South Seattle Community College, and after successful completion took the first step toward the medical field by enrolling in the Medical Assistant program. After working for several years he decided to become a physician assistant.

Arash applied to the University of Washington physician assistant program, which lead him to a position at a local urgent care. Seeing daily a variety of challenging and exciting cases was rewarding, but his work made him realize that he could still learn more and meet the community's need at an even higher level. Arash attended the International University of Health Science, for the didactic portion of the program and completed his third and fourth year rotations at home in the Northwest, while also working part time as a physician assistant. During medical school, he published several articles on patients he had treated.

In his spare time Arash enjoys spending time with family and friends and when the weather is good he enjoys riding his motorcycle or attending car shows.  In addition, he also volunteers at Evergreen Hospital Hospice Center visiting patients on a weekly basis. Getting to this point in his life has been a challenging and exciting journey and he is looking forward to the challenges ahead.


Stacey Rittmueller, DOStacey Rittmueller 8x10 computer version

Home Town: Glendale, Arizona

Medical School: Pacific North West University of Health Sciences, School of Osteopathic Medicine

Born in Glendale, AZ, Stacey studied Physiology at the University of Arizona and earned an MPH from Johns Hopkins Bloomberg School of Public Health. Diverse experiences in Tanzania, the Canadian Arctic, and the VA Puget Sound inspired a career bridging community health and clinical medicine. As a medical student at Pacific Northwest University, Stacey was fully engaged with her campus and community. She enjoyed creating partnerships to address health disparities through leadership roles in the Yakima Health Equity Forum and the 2015 Run for Your Life 5k & Health Fair. Together, her public health and osteopathic medical training have reinforced that the body must be treated as a holistic unit and its health often reflects that of the surrounding community. Stacey is excited to apply this framework as a resident at Tacoma Family Medicine with the vision of providing full-spectrum primary care, including surgical obstetrics, in rural Washington State as a National Health Service Corps Scholar. To balance her professional interests, Stacey enjoys connecting with her community as an avid volleyball and handball player, outdoor enthusiast, and sharing home-cooked meals.


Andrew Smith

Andrew Smith, MD

Home Town: Symsonia, Kentucky

Medical School: University of Louisville

Andrew was born and raised in a small town called Symsonia, KY, where he spent his summers hiking, playing soccer and baseball.  He attended the University of Louisville in Louisville, KY where he majored in biology and chemistry.  During undergraduate school he developed a love for teaching and bench research.  He went on to the University of Louisville School of Medicine.  He was a member of the rural medicine class and was also on the Distinction of Research track.  He was involved in numerous teaching extracurricular activities.  He chose Tacoma Family medicine mainly because of the full-spectrum family medicine, procedures, strong obstetrics and pediatrics, and the commitment the program has to the rural and urban underserved populations. He will be moving out of Kentucky for the first time with his sister, five-year old niece, and two wild cats.  In his free time, he enjoys exploring new places, spontaneous traveling, hiking, camping, spending time with family and friends, rollercoasters, and going to the zoo.