Dr. Jamie Lewis

Jamie Lewis

As a board certified physician in 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. Dr. Lewis is the medical director for both Northwest Spine and Pain Medicine and Northwest Center for Regenerative Medicine.


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.

Dr. Fernandez

Patricia Fernandez
Chief of Psychology Department

Dr. Fernandez completed her doctorate degree in Clinical Psychology from Loma Linda University and finished her postdoctoral fellowship at the University of Southern California. Her interest was in Health Psychology, working in the Pain Clinic, Hematology/Oncology and Craniofacial unit. Dr. Fernandez is committed to bridging gaps through integration, and in the healthcare field. She has been involved in research regarding the clinical aspect of cultural needs to help strengthen professional relationships within diverse backgrounds. Trained in attachment-based psychodynamic and the unique needs of a medical community, Dr. Fernandez continues to work in an integrative model in modalities of group therapy, individual therapy and family therapy. Psychological testing, from neuropsychological examination to pre-surgical psychological assessments and emotional & cognitive diagnostics, is another area of focus. She also enjoys the classroom environment and has taught Social Psychology, Testing & Measurements and Abnormal Psychology. Recently, she was a staff member at Gonzaga University in the psychology department and currently enjoys homeschooling her children. The last decade has brought continued interest in attachment, mindfulness, yoga and exploration concerning individuals living in chronic pain. Mindful of resilience and loss within this community, Dr. Fernandez values the infinite worth of all. Deep Peace.

Dr. Sean Smitham

Sean Smitham
Director of Pain Psychology Services

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 Jing

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.

James Foster

James Foster

James Foster graduated from Walden University with a Master’s degree in 2016 and has been serving and caring for patients of all ages for the past two decades.  He has training and experience in Primary Care, Internal Medicine, Rehabilitation and Geriatric Medicine. A licensed nurse for twenty years, James spent much of this time caring for elderly patients in skilled-nursing and rehabilitation homes providing interdisciplinary service and care plans for individuals with acute and chronic health conditions. James served as the clinical team lead in Primary and Behavioral Health Care Integration for three years and also served for the Salvation Army Michigan Turning Point Program as a Waivered Provider of outpatient and inpatient psychiatric services for Christian counseling. “I consider my nursing services a privilege which has polarized my professional ambition and direction toward individuals affected by chronic health disparities.” This notion is based on a non-judgemental, stigma-free, humanitarian-holistic approach which places the individual as the center-focus and empowers self-management and ownership of their care.  Two decades of nursing has made James an advocate for wellness promotion which incorporates an individual’s personal, spiritual and cultural beliefs. “Nursing has transformed me to facilitate and focus energy towards realizing and actualizing a person’s goals, optimizing their full potential and their recovery.”


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?

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.
Dr. Don Halcrow

Don Halcrow

Dr. Halcrow obtained a Bachelor of Science in Biology and a Doctorate in Chiropractic at the University of Western States in Portland Oregon. For many years he treated patients in Bend Oregon where he developed a strong understanding of the connection between the body’s structure and its function.  Utilizing conservative therapies he helped many people; however, he wanted to offer patients even more and therefore attended the University of Washington’s Physician Assistant program here in Spokane. Naturally he chose to continue to work in orthopedics where he assisted in surgery for the next three years and helped to care for patients of all ages including top college athletes from Oregon State University.  Don’s focus however remains the sameto address a patient’s concerns from a functional point of view and to help them reach their goals for improvement. Overcoming a football injury led him to his career in health care and taught him that various modalities, from conservative treatments to minimally invasive procedures, can be employed to initiate healingHis own recovery motivated him to help others achieve the same success. Don appreciates the holistic, multidisciplinary approach that Northwest Spine and Pain offers to patients. Originally from Calgary, Alberta he now calls Spokane home and appreciates the many outdoor activities here. He enjoys time with his family and friends and is an avid skier, golfer, hiker and cyclist “My dilemma he says, “is which activity to do on the weekend.”