Medical Services     Moscow Office                                                           Pullman Office

                                                        8am-5pm, Monday-Thursday                                 8am-5pm, Monday-Thursday

                                                        8am-12pm, Friday                                                     Closed Friday

Internal Medicine

Internal Medicine is a primary care specialty that  provides care for adults and adolescents. Internal medicine physicians specialize in diagnosing problems and preventing disease. 


Common healthcare issues dealt with include low energy, depression, back pain, sleeping difficulties, headaches, joint pain, anxiety, bowel troubles, respiratory and skin problems, chest pain, diabetes, hypertension, kidney disease, arthritis, and obesity.
In addition, Internal Medicine physicians coordinate care and refer to other healthcare providers.  These providers may include cardiologists, surgeons, neurologists, rheumatologists, oncologists, physical therapists, etc.

Adolescent Health

We start seeing adolescent patients at the age of 15. Health risks for ages 15-25 include social health, sexually transmitted disease, pregnancy, substance abuse, school problems and accidents. Doctor visits include risk assessments and counseling to prevent illness and death.

In addition to what has been mentioned, many “adult” diseases start out at an early age. These diseases include diabetes, high blood pressure, cholesterol problems, obesity and lung disease. These diseases are screened for and risk factors corrected. This will prevent disease later on in life.

Women's Health
Women's Health

Women's health issues include the following: breast health, bone health, birth control, cancer screening, PAP smears, domestic violence, irregular or absent periods and hormonal imbalances.  In addition, women can have diseases that act or look different than in men. An example of this is heart disease. Women will be guided through the decisions of disease screening and prevention, and helped to develop a plan that will bring them optimal health.

Preventive Services


Counseling is probably the most important thing we do in our office in terms of saving lives and preventing illnesses. Most people today die of one of the following: heart disease, cancer, stroke, lung disease and pneumonia. A good portion of these illnesses can be prevented or at least postponed for a long time. 

Most of us are aware of ways to prevent disease and prolong life. For example: exercise, diet, and weight control. In general, these are difficult for many people to put into practice. With a bit of help from professionals, oftentimes ways can be found to make the necessary changes. In addition, it is our experience that many people are not aware of all the interventions and lifestyle changes proven to prevent disease and prolong life. The staff have found that helping people make positive lifestyle changes is very rewarding.

Elder Care

Working with elderly patients is challenging and rewarding. As we get older, we get more diseases. The most common are heart disease, cancer, stroke, lung disease and infections such as pneumonia. “Normal” aging, in the absence of specific diseases, can be challenging as well. At age 60, many experience noticeable loss of memory. Deterioration in physical function begins earlier in life. Oftentimes, the challenge is in differentiating between normal aging and early disease. 
There are many other issues that have to be addressed as one ages: loss of loved ones, inability to care for one’s self or loved ones, and end of life decisions. Many difficult questions arise that need to be addressed: When should my parents or I quit driving? How can I get more help in my home? What are my options if I become unable to care for my loved one or myself? How do I deal with loss of strength, memory or bodily function? How do I make decisions about end of life care? We aim to educate patients about what is to be expected with aging and illness and what the options are for care so that each person, along with input from loved ones, can make informed decisions. 


Preventive Care Education

Many diseases can be prevented: heart attacks, various types of cancer, stroke, depression, addictions, hypertension, diabetes, AIDS, sexually transmitted diseases, certain infections, kidney disease, lung disease. 

We take extra care to educate, screen and make recommendations to prevent disease. Lifestyle choices are critical when it comes to good health and we want to help you all we can in this area.


We are here not only to treat disease, but to partner with you to establish goals for healthy living that will decrease the onset of disease and improve your everyday enjoyment of life — experiencing total wellness at its best.