James Wallace,  MD, MPH,  FAAFP, Medical Director

Physician w/ OB

Dr. Wallace is a Board-certified Family Physician with fellowship training in obstetrics. He provides care to patients of all ages and has special interest in promoting the health of families through the many ups and downs of life. He works in Family Health Centers’ offices in Brewster and Twisp, and provides inpatient and perinatal care at Three Rivers Hospital in Brewster. With a Master’s degree in Public Health, Dr. Wallace prioritizes prevention, intervenes on social determinants of health and assists patients, families and their communities overcome barriers to health.

As Medical Director of Family Health Centers, Dr. Wallace enjoys the opportunity to lead one of the most dedicated and compassionate group of community health providers anywhere. The physicians, nurse practitioners and physician assistants at Family Health Centers are passionately committed to our mission of serving “the health of our entire community through collaboration, patient care and education, to deliver positive patient experiences and to provide access to affordable care,” and to balance new technology and systems of practice with good old-fashioned, patient-centered primary care. It is truly a privilege to work with such an inspiring team.

Dr. Wallace also hosts medical students and residents on rural health rotations in both outpatient and hospital settings, and enjoys the opportunity to pass on his love of rural, full-spectrum family medicine to new physicians.

When not adventuring in clinical practice, Dr. Wallace enjoys exploring the North Cascade mountains, playing in the snow, and floating local rivers with his amazing wife and two sons.

Hilda J. Caquias, PsyD

Behavioral Health Director

Dr. Caquias obtained her bachelor degree in Psychology and Mental Health in the University of Puerto Rico, and her doctorate in Clinical Psychology at the Ponce School of Medicine in Puerto Rico. She did her residency in APS Healthcare in Caguas, PR, and graduated in 2010. After years of practicing psychology in Puerto Rico, she left the Island with her family to Colorado first and then Washington State. Her special interests include prevention of violence, women’s health, integrated care, holistic approaches, and promoting a healthy lifestyle. Dr. Caquias enjoys outdoor activities, spending time with her family, and traveling.

Waldemar Lugo-Alvarez, MD

Internal Medicine

Dr. Lugo joins us from Puerto Rico where he graduated from the Internal Medicine Program at Universidad Central del Caribe, School of Medicine. His residency was completed at Caguas Regional Hospital. As an internist he can diagnose and provide treatment of disease and injuries of internal organ systems. Dr. Lugo is experienced at handling the broad and comprehensive spectrum of illness that affect adults and considers all of your medical needs for whole body health. His excellent Spanish makes him an asset in our community. When not in clinic he enjoys tennis, biking and fishing. He looks forward to interacting with other cultures in our diverse and beautiful community.

Victoria DeSalvo, FNP

Family Nurse Practitioner

Victoria ‘Tory’ earned her RN degree thru the Omak Wenatchee Valley College nursing program. She went on to earn her MSN Family Nurse Practitioner at Gonzaga after earning her Bachelor’s Degree from Athabasca University. A longtime resident of Okanogan County, her hobbies are running & skiing and spending time with her family. “I believe access to healthcare is one of the most important basic needs we have. I love this county with its strong sense of community and beautiful wilderness.”