Meet the Care Team
Jamie Lewis, MD
Ghassan Nemri, MD
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.
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.
Alyna Ohanian, PhD
David Springer, PT
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.
Amanda Hamlin, ARNP
Amanda graduated with her MSN from Gonzaga University's Family Nurse Practitioner Program. Her background as an RN-BSN is in hospital medicine, specifically cardiology and interventional radiology. She spent her undergraduate years studying and playing soccer at Eastern Washington University, eventually receiving her BSN from Washington State University’s College of Nursing.
Amanda loves Eastern Washington and has been living and working in the Spokane area since 2009. In her free time, she enjoys spending time outdoors with her husband and daughter and traveling.
Amanda wholeheartedly believes in the multidisciplinary, team-centered approach to care provided at Northwest Spine & Pain Medicine and feels that this approach allows her to provide the best possible patient-centered care.
Ariel Lagnion, ARNP
Ariel graduated from Gonzaga University in May 2021 with her Master's of Science in Nursing. She received her Bachelor's degrees from Washington State University and Whitworth University. She is originally from Portland, OR but has been in the Spokane area since 2012. She worked as a RN at Holy Family Hospital on the Advanced Care Unit for 5 years where she cared for patients with cardiac, pulmonary, and renal conditions. Ariel enjoys spending time outdoors hiking, snowshoeing, or at the lake. Most of her free time is taken up by her border collie/Australian shepherd mix puppy named Fender. She stays active with group fitness classes and yoga. When she isn’t working, she spends her vacations traveling as much as possible. Her favorite places she has visited so far are Ireland and Santorini, Greece. Ariel believes in a holistic approach to medicine and the importance of shared decision-making. Education and open communication are key to a collaborative patient-provider relationship. North West Spine and Pain Medicine's multidisciplinary and team approach creates an atmosphere that truly strives to improve patient quality of life.
Madison Nelson, ARNP
Madison Nelson, ARNP, is our newest NWSPM team member. Madison is a highly experienced, compassionate care provider dedicated to delivering a whole person approach to your health.
Madison received her Bachelor of Nursing from Southern Utah University. Her nursing career began at Saint George Regional Hospital on a cardiovascular unit, where she cared for patients with cardiac, renal, and pulmonary conditions. As she progressed in her career, she worked as a Hospitalist Nurse Coordinator, where she managed inpatient care between interdisciplinary teams. Madison graduated with her Master of Nursing from the University of Cincinnati’s Family Nurse Practitioner Program. She believes in the holistic and multidisciplinary approach to patient care and incorporates this philosophy into her practice.
Madison is originally from Riverton, Utah, and recently moved to Spokane with her husband. She enjoys spending time with family and friends in the outdoors. Some of her favorite pastimes are hiking, skiing, and boating.