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Nephrology and Hypertension

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Caring for Children with Kidney-related Illnesses

Dr. Yonekawa and Girl

The MultiCare Mary Bridge Pediatric Nephrology Clinic cares for infants, children and young adults with kidney-related concerns or illnesses. Our multidisciplinary team includes three pediatric nephrologists, a dedicated team of pediatric nephrology nurses, a registered dietitian, a social worker and a child life specialist.

Our team provides evaluation and management of conditions such as:

  • Blood in the urine
  • Chronic progressive kidney disease
  • Glomerulonephritis
  • Kidney-based electrolyte and acid/base disorders
  • Kidney cysts
  • Kidney failure
  • Kidney stones
  • Nephrotic syndrome
  • Protein in the urine
  • Post-transplant care
  • Structural abnormalities of the kidney(s)


Additionally, we diagnose and manage Pediatric Hypertension. In some cases, high blood pressure in a child is caused by kidney-related problems.

Our comprehensive services include:

  • Ambulatory blood pressure monitoring
  • Consultation with our Registered Dietitian
  • In-depth education on home blood pressure monitoring and lifestyle modifications
  • Medical (drug therapy) management

Clinics and Outreach

We see patients in the Nephrology clinic on Mondays, Tuesdays, Thursdays and Fridays in Tacoma. We also have outreach clinics in Silverdale and Olympia once a month.

Inpatient Care

Our strong relationship with our colleagues at Seattle Children’s Hospital allows us to provide in-person inpatient pediatric nephrology care at MultiCare Mary Bridge Children’s Hospital every day of the year. Our families also have access to a pediatric nephrologist 24 hours a day.

Transplant Services

Our kidney transplant center is Seattle Children’s Hospital. We also participate in the pre-transplant evaluations and are actively involved during the immediate post-transplant period. We work closely with both the transplant providers and the families so that we can determine the best timing in which to resume ongoing care of our patients and their new kidney transplant.


Communication with our surgical colleagues is crucial for the care of many of our children with structural abnormalities. We maintain a special relationship with the general pediatric surgeons and pediatric urologists in both the south and north Puget Sound area.

For a consultation or referral to Nephrology at any of our locations, please call 253-792-6630 or 800-552-1419.

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