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Jamie Lewis

As a board certified physician in both Physical Medicine and Rehabilitation with a subspecialty in Pain Medicine, Dr. Jamie Lewis treats patients throughout Eastern Washington and Northern Idaho. Dr. Lewis received a Bachelor of Science in Biology from the University of California, Riverside and subsequently earned his Doctor of Medicine from Loma Linda University School of Medicine. While continuing his clinical training, Dr. Lewis completed an internship in Internal Medicine, a residency in Physical Medicine and Rehabilitation, and a fellowship in Pain Management at Loma Linda University and affiliated hospitals. Not only is Dr. Lewis the medical director of Northwest Spine and Pain Medicine, but he also acts as the medical director of the Structured Intensive Multidisciplinary Pain Program at St. Luke’s Rehabilitation Institute in Spokane, Washington.


Ghassan Nemri

Dr. Nemri is a graduate of Minsk State Medical University. He completed an Anesthesiology residency program at Cook County Hospital in Chicago, Illinois, then continued to further his specialization in Pain Management by completing a fellowship program at the same institution. He is Board certified in both Anesthesiology and Pain Management. Dr. Nemri practiced Anesthesia and Pain Management for several years in the largest pain management group in Northwest Indiana and the Greater Chicago area before moving to Washington State to be closer to his family. Dr. Nemri’s extensive experience has brought many patients the expertise of a compassionate caring physician.


Howard Grattan

Dr. Grattan is a fellowship trained and double board certified pain management and physical medicine and rehabilitation physician. His training was completed at Loma Linda University known for a focus on whole person care. He uses this training to address the multiple facets of the patients’ lives that are contributing to their suffering. Dr. Grattan uses multiple diagnostic and treatment modalities to accomplish functional improvements above and beyond pain control, including NCS/EMG, fluoroscopically guided injections and radiofrequency ablation to name a few. He is comfortable treating all painful conditions and works to minimize opioid pain medications.


Patricia Fernandez

After completing her doctorate degree in Psychology, Dr. Fernandez completed post doctorate training at the University of Southern California. Dr. Fernandez currently teaches in the psychology department at Gonzaga University and serves as staff psychologist at Northwest Spine and Pain Medicine.

Dr. Sean Smitham

Sean Smitham

We are pleased to welcome Dr. Smitham to our team of providers at Northwest Spine and Pain Medicine.
Dr. Smitham received his doctorate degree in Clinical Psychology from Western Michigan University. He completed an APA approved internship at Nebraska Internship Consortium in Professional Psychology as well as a postdoctoral fellowship in Behavioral Pediatrics at Boys Town Center for Behavioral Health. He has worked with patients ranging in age from two years to ninety years addressing behavioral problems, attention difficulties, stress, anxiety and depression. As a staff psychologist at Northwest Spine and Pain Medicine, Dr Smitham provides psychotherapy and assessment services for patients with psychological and emotional factors impacting their chronic pain management and/or physical functioning as well as pre-surgical psychological evaluations. Dr Smitham is committed to providing compassionate patient care and utilizing evidence-based therapeutic interventions. In his free time, he enjoys spending time outdoors hiking and camping with his family and also incorporates a regular yoga practice into his schedule. Namaste ~


David Springer

David Springer is an orthopedic board certified physical therapist, trained in manual therapy. He completed his schooling in 1998 in Southern California, and subsequently completed a manual therapy training module within the clinical residency program of Kaiser Permanente, Los Angeles. Before returning to the northwest, he served at a multidisciplinary pain management and out patient rehabilitation center. Additional work environments have included acute and chronic out-patient orthopedic management, corporate ergonomics, custom seating and mobility systems, in-patient acute care, vestibular rehab, as well as post surgical management in the home setting. His practice skills utilize manual therapy and prescriptive exercise for soft tissue healing and normalizing musculoskeletal movement to meet the individualized goals of his patients. David’s personal interests involve guitar, running, most anything outdoors, and keeping pace with his teenage daughter and son, as well as his wife and her physical therapy career in the ALS and neurological populations.


Xiang “Shawn” Jing

Xiang Jing, “Shawn”, graduated with his MSN from Gonzaga University in 2014. This education instilled in him strong values, a view of learning as sharing, and a desire to empower others while respecting their dignity. He joined Northwest Spine and Pain Medicine after enjoying a variety of medical settings, including long-term care, cardiology, medical-surgical, ICU, and oncology units in the Spokane area. He enjoys collaborating with a multidisciplinary team that provides safe and patient-centered quality care to the local community.  In his free time Shawn enjoys cooking, exploring our beautiful Spokane outdoors and traveling to new places.


Johanna Golke

After working in rehabilitation medicine for two years at Mary Free Bed Rehabilitation Hospital in Grand Rapids, Michigan, Johanna decided to further her education by pursuing a Master of Physician Assistant certification from Des Moines University, Iowa. Johanna’s experience and education have re-enforced her strong commitment to provide holistic, patient centered and compassionate care to all of her patients, a perfect fit for Northwest Spine and Pain Medicine. Johanna may look like Disney’s Elsa from Frozen, however, instead of manipulating the cold, she spends her free time embracing all things outdoors. Johanna loves to hike, kayak, paddle board and bike. Originally from the great state of Michigan, she is enjoying exploring our beautiful Pacific Northwest alongside her husband and their two rescue dogs, a coonhound mix and a dingo, yes a dingo! Johanna is also an avid basketball fan, more specifically a Michigan State Spartans fan, go Spartans… Johanna, have you heard of Gonzaga?


Dayna Turner

Dayna Turner graduated from Walden University with a Master’s degree in Nurse Practitioner in 2017. Prior to that, she had experience as an RN in the specialties of surgical, total joint/spine and home health care. Dayna is passionate about integrative, holistic medicine that includes all aspects of lifestyle. She keenly emphasizes therapeutic relationship and promotes the use of diverse, applicable treatments that include both conventional and alternative medicine. Born and raised in Canada, Dayna has an inherent attraction to the great outdoors from the perspective of the canoe. With her “Meany” paddle in hand and Tilly on her head, she facilitated dozens of teenagers with self-discovery and personal growth by taking them on 20-day canoe trips on rugged Canadian river systems. When she is not in the clinic or floating on the water, she can be found at the ice rink playing hockey, mountain biking, or exploring the woods with her family. She is ecstatic about being part of the NWSPM family and looks forward to helping patients achieve optimal health and wellness.

Andrew Garten

Andrew Garten

A transplant from the East Coast thanks to the US Navy, Andrew has set down roots in the Northwest. In the Navy he worked as a journalist, editor and in public affairs. After his second enlistment and honorable discharge as a Petty Officer First Class, Andrew moved into a brief career as a Graphic Designer, which came to an end in 2008 thanks to the recession.  After hearing his friend talk about the work EMT’s do, Andrew obtained an EMT pre-test book, read it in three days and took the entrance test on the fourth day and was accepted into EMT training. During his training, Andrew discovered that he really enjoyed medicine. Even before he got hired as an EMT, Andrew had chosen to become a Physician Assistant. The next few years would prove to be the most challenging and rewarding journey of personal, academic, spiritual and professional growth. Andrew spent a month of his training in Spokane and hoped to return permanently. After training and certification were complete, Andrew was referred to Northwest Spine and Pain Medicine and is happy to have found a place to call home.
Brandi Rilkoff

Brandi Rilkoff

Brandi Rilkoff completed her Psychology undergraduate education at Whitworth University, followed by her Masters in Professional Counseling from Georgia State University.  She is a Nationally Certified Counselor, a Licensed Mental Health Counselor in the state of Washington, a Geriatric Mental Health Specialist and a Certified Clinical Trauma Professional.  She has worked as a counselor in mental health clinics, partial psychiatric hospitalization programs as well as private practice.  She believes that a person is made up of not only their psychological symptoms, but their social environment, their biological make up (including physical health), their spiritual faith and journey, and the goals they wish to reach.  By using these human threads, she works with the individual to find peace and healing throughout the many facets of his or her life.