Emily Miller, MD

Physician w/ OB

Dr. Miller graduated high school in New Zealand. She has a BA in Genetics from Dartmouth College and went on to receive her MD from the University of Rochester School of Medicine. She completed her residency in family practice at Tacoma Family Medicine and at Rural Medicine Fellowship also in Tacoma. Her special interests include obstetrics and women’s health.

Emily is looking forward to meeting the people of this sun-drenched community and enjoying the four seasons. She belives Family Health Centers shares in her ideals of service to all of our neighbors.

Brendan Smith, N.D.

Naturopathic Physician

He earned a Bachelors in Science in Biology from University of Washington and graduated from Bastyr University with his Naturopathic Medical degree.  He completed three years of residency at the Bastyr Center for Natural Health in Seattle, WA where he rotated through community health centers and major regional hospitals.  Dr. Smith has special interest working with patients with diabetes and cardiovascular disease using a patient centered holistic approach. He has provided care for many years with homeless youth in Seattle helping to manage health through difficult life situations. “I am excited to join FHC in providing naturopathic medicine to the people of Okanogan County. The dedication to health, prevention and health care in line with values and preferences of patients are reasons I look forward to joining and serving the community.”

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.

Karen Jacobsen, LMHC

Behavioral Health Director

Karen earned her Master’s in Counseling from Western New Mexico University.  She has worked for Family Health Centers since 2004.  When not in the clinic, she enjoys hiking, skiing, gardening and music. “I love working with a positive team to help people become their best selves.”

Tracy Zelenka, Pharmacy Manager/ PharmD

Doctor of Pharmacy

Tracy received her BA from Western Washington University in 1983 and then decided to obtain her PharmD from Washington State University College of Pharmacy in 2009. Her special interests include medication therapy management and offering up excellent patient education. She’s excited to join Family Health Centers and to be able to provide pharmaceutical expertise to its patients.

Kris Olson, RPh

Pharmacist

Kris received his Bachelors degree in Pharmacy from Washington State University in 1997. He is in the process of learning Spanish and enjoys golfing, camping, fishing, gardening and playing with his 3 kids. Kris enjoys working with the wonderful people here and feels Okanogan county is a wonderful place to live and raise his kids.

Kevan Coffey, ARNP

Nurse Practitioner

Kevan earned her Master of Science in Nursing from Yale University and went on to get her Doctor of Nursing Practice from the University of Washington. Her interests include geriatrics, chronic disease management, women’s health and mental health.

“I am excited to work for a clinic with such exemplary dedication to community service and excellence in primary care. I love Okanogan County for its natural beauty, rural character, and its diverse and colorful communities.”

Brei Pyper, FNP

Family Nurse Practitioner

Brei earned her Masters of Science in Nursing from Simmons College in Boston, MA. She is currently working toward her Doctor of Nursing Practice at Vanderbilt University, TN. Her special interests are preventative care, mental health and breastfeeding education.

“My local roots run deep, as I was raised in Tonasket and currently live in Riverside with my husband and two daughters. We enjoy exploring our beautiful county and can be found shed hunting while snowshoeing or hiking in the Sinlahekin. I desire to serve our rural community’s unique health care needs.”

Kelcie Butler, LMHC

Behavioral Health Specialist

Kelcie earned her Masters in Counseling from Gonzaga University.  She began working with Family Health Centers in early 2016.  Outside of the office, she enjoys camping, traveling and spending time with loved ones.  “I believe people are strong and resilient and FHC strives as a team to help people become the best they can be and live the highest quality of life possible.”

Amanda Segars-Huffstetler, PA-C

Physician Assistant – Certified

Mandi obtained her BA/BS and her MS in Biology at Western WA University. She also attended the University of Texas Medical Branch. Mandi is especially interested in women’s health and preventive care. She is also proficient in clinical Spanish. Mandi is excited to be back in Washington to be closer to her family; living in a beautiful community and working at a community health center.

Randy Robbins, PA-C

Physician Assistant – Certified

Randy graduated from Omak High School 1999.  He attended Eastern Washington University obtaining Bachelors of Science 2006. Completed Masters of Clinical Health Services through the University of Washington 2015; MEDEX graduate. Sixteen years of military service with the Washington Army National Guard. Prior enlisted combat medic, currently serving as a medical provider. Completed Army Flight Surgeons course 2017.

“Family Health Centers inclusive, family atmosphere and dedication to taking care of all Okanogan County residents makes it an ideal practice location in my hometown community.”

Nancy Espelin, PA-C

Physician Assistant – Certified

Nancy completed her Masters in Public Administration from Montana University and went on to earn her Masters Physician Assistant Studies at Pacific University. Her special interests in medicine include family practice and urgent care. Outside the clinic she enjoys biking, skiing, golfing, fishing & hiking.

“I love this area for it’s access to the outdoors, pace of life, small town community feel and proximity to family.”

Valarie Mckenna, MA, LMHC

Behavioral Health Specialist

Valarie earned her Bachelors in Community Health and Nutrition from Evergreen State College, Olympia, WA.  She went on to achieve her Masters in Clinical Mental Health and School Counseling from Regent University, Norfolk, VA.  She completed her residency at OBHC and Virginia Grainger Elementary School.  Her personal interests are hiking, botany, music and gardening.  “I have lived in Okanogan County since 1997, drawn by the beauty of the mountains and the kindness of the people.  I enjoy working with my community, encouraging health and wellness to its people.  I love driving and hiking the backcountry while enjoying the wildflowers, fresh mountain air and cold rivers.”