Jamie Lewis, MD
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, MD
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, MD
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, PsyD
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.
Sean Smitham, PhD
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 ~
Pamela Clark, PsyD
Dr. Clark is a licensed psychologist who completed her doctorate at Alliant International University. Her background is in Marriage and Family Therapy and she is trained in clinical assessment, evaluation and diagnostics. She completed her postdoctoral training at St. Luke’s Rehabilitation Institute where she served as a staff psychologist within a multidisciplinary pain rehabilitation program. She has 12 years of experience in helping individuals, families and couples adapt and thrive with chronic illness and medical limitations. Special populations she has experience with include traumatic brain injuries, concussions, stroke, spinal cord injuries, post-traumatic stress, injured workers, as well as chronic pain. In addition to her clinical work she serves as a Balint group facilitator at the Washington State University Elson S. Floyd College of Medicine. She is passionate about providing empathetic, compassionate, and evidence-based treatment to reduce the impact of psychosocial stressors and collaborate with patients to improve their quality of life and reduce their sense of suffering. Outside of her work she enjoys hiking and country swing dancing.
David Springer, PT
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, DNP, ARNP
Xiang Jing 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.
Andrew Garten, PA-C
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.
James Foster, RN, MSN, APRN, ANCC-AGPCNP-BC
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.”
Don Halcrow, DC, PA-C
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 same, to 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 healing. His 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.”
Michelle Brothers, DNP
From an early age, Michelle liked helping others with injuries and illnesses, which came in very handy growing up as a farm girl in rural north Idaho. While attending Lewis-Clark State College she worked summer jobs as a CNA in long-term care and a clinical assistant in a rehabilitation and sports training clinic. After receiving her BSN and RN license she worked as a rehabilitation hospital floor nurse in Bakersfield, CA. Michelle's experience as a nurse instilled a desire to do more for her patients. She returned to college and graduated from Loma Linda University School of Nursing with her Doctor of Nursing Practice (DNP) and passed the FNP certification soon afterwards. Being raised in a family where alternative medicine was very popular, Michelle has great respect for both “traditional” and “modern” medicine. Various personal experiences cultured her passion for helping others who experience pain on a daily basis. She loves serving on medical mission teams, including living 3 months in Uganda where one of her favorite memories was helping a young boy walk again. She is very honored and proud to be part of the multidisciplinary team at Northwest Spine and Pain Medicine.
Ashley Baggott, MSN, ARNP
Ashley started her medical career early at the young age of nine by volunteering at the hospital her mother worked at. This exposure fueled her desire to seek a career in the medical field. After 9/11/2001, Ashley found an even greater purpose to serve her country by volunteering to join the United States Army. After attending the University of Portland for her BSN, Ashley commissioned into the Army as a medical surgical registered nurse in 2009. As an Army nurse, Ashley perfected her nursing skills while training at top healthcare facilities around the world. Ashley found a passion for helping others while upholding the most up to date, evidence based, patient centered care. Caring for soldiers, retirees, and their family members became a true honor. Ashley found it most rewarding working with injured soldiers that needed orthopedic, spine care, pain management, and rehabilitation. Ashley met her husband Jason while in the Army. She left active duty and joined the reserves to expand her medical career and return to school to become an Advanced Registered Nurse Practitioner. In 2016, Ashley graduated from Maryville University with her MSN and soon moved to Spokane, wa. She continues to be a proud Army wife and mother of two children. She enjoys volunteering at her church and spending as much time outdoors as she can. She enjoys hiking, kayaking, cycling, snowboarding, and any adventure that is challenging and exciting.