Zachary Kile PA-C comes to us after 25 years of multispecialty surgical and Interventional pain experience as an independent practitioner. He traveled the country for 12 years working and assisting in surgery for some of the most respected Surgeons in their fields from Orthopedics, Neuro, Cardiothoracic, General surgery and Trauma.
Zachary understands patient’s pain symptoms as he has had an injury that required a major lumbar surgery. His approach is to deeply understand and connect with his patients through trust, communication and compassion. Zachary firmly believes that patients can overcome their pain through simple interventional therapies and ultimately live happier, more productive lives.
Zachary was the recipient of Seattle Met’s Top Physician Assistant award in 2020. In his spare time Zachary enjoys traveling, spending time with friends, and anything outdoors.
Paul Schwartz PA-C, LAc received his BA in Anthropology and Creative Writing from the University of Arizona in 1992. After living in Taipei, Taiwan for five years, he and his wife, Raejune, moved to Austin where he attended AOMA Graduate School of Integrative Medicine and earned his Master’s degree in Acupuncture and Oriental Medicine. In 2006, he and his partners opened Neighborhood Acupuncture Project, the first community acupuncture style clinic in Texas. In 2012 he moved to Seattle and pursued another path. By 2018 he graduated from the University of Washington’s Physician Assistant program with the goal of eventually practicing Integrative Medicine. He strongly believes in the benefits of combining the best of traditional systems with modern biomedical approaches to healing.
Warner Asch graduated from the University of Washington’s MEDEX Program with a Masters of Clinical Health Services. He has worked extensively in Family Practice and Urgent Care settings. Before becoming a PA, he worked as an EMT throughout the King and Snohomish county areas.
His professional interests include treatment of chronic pain conditions particularly of the neck and back, medication management, and fluoroscopic joint injections. He aims to be the type of clinician who can provide a sense of calm and trusted guidance about health.
In his spare time, he enjoys listening to music, taking walks, and camping.
Brittany Johnson, PA-C was born and raised in Coeur d’Alene, Idaho. She completed her undergraduate degree in Exercise Science at Gonzaga University, before moving to Arizona with her husband to pursue her Masters degree in Physician Assistant Studies. She attended A.T. Still University and graduated in 2014. After graduation, she spent several years working as a family medicine provider. She specialized in joint injections and trigger point injections for the family practice before deciding to move back to the northwest to be closer to family. Due to her background in exercise science and experience gained during her time as a family practice provider, she decided to specialize in pain management. In her spare time she enjoys cooking, crafting and spending time with her family.
Jonathan Clemens, PA-C graduated from Pacific University in 2012 with an MS in Physician Assistant Studies, and since then he has worked in Thurston County in family, occupational, sleep, eating disorders, and walk-in/urgent care medicine. He has experience with multimodal pain care, point-of-care ultrasound, and joint injections. Prior to PA school, Jonathan worked in Information Security and as a volunteer EMT.
Jonathan’s related interests include medical ethics, health care information security, austere/wilderness medicine, and the interface between faith and healing. He currently volunteers with a local fire department and the Thurston County Medical Reserve Corps, and teaches EMT classes for Thurston County Medic One. Jonathan is a past president of the Fellowship of Christian PAs.
Jonathan’s philosophy of pain management focuses on whole-person health, with a three-fold emphasis on good sleep, mental health care, and medical pain management.
Elizabeth Spokoiny, DNP, ARNP, FNP-C, DipACLM secured her Doctor of Nursing practice from Washington State University and received accolades for her exemplar research on nutritional strategies for chronic pain. She is certified in Family Practice through the American Academy of Nurse Practitioners. She earned her Masters in Nursing from the University of Washington and conducted research on health equity in Togo, West Africa where she was part of an international team on two in-country missions. With limited resources and few medicines, local botanicals served as the primary field medicines to combat malnutrition, pain and common local ailments. Elizabeth’s doctoral work was chosen as a Magnet exemplar for the University of Washington Medical Center, where she worked as an ANCC certified pain management nurse for 5 years with some of the top pain experts in the nation.
Elizabeth is a Diplomat of the American College of Lifestyle Medicine, a member of the nursing honor society Sigma Theta Tau, American Nurses Association, Washington State Nurses Association, Advanced Registered Nurse Practitioners United and the American Association of Nurse Practitioners. Prior to her medical career, Elizabeth worked in several industries including software, library science and real estate. She also holds a Bachelor of Science in Business Administration and Entrepreneurship from the University of Southern California.
A California native, and Washingtonian for over two decades, Elizabeth is passionate about health and wellness and takes a holistic approach to her patients. She offers a range of integrative treatments, basic interventional pain procedures and a strong commitment to working closely with her patients to overcome their challenges. Elizabeth has earned Board Certification in Lifestyle Medicine from the American Board of Lifestyle Medicine and has additional training in Functional Medicine from the Institute of Functional Medicine. She uses evidence-based lifestyle interventions and focuses on developing healthy habits and routines for health management and maintenance. Establishing routines to support quality nutrition/diet, adequate movement, restorative sleep, calm mind states/stress management, and healthy relationships and managing the challenges to making long-term health behavior change are central to her practice.
Elizabeth enjoys spending time with her family, travelling, jet skiing with her Havanese puppy Ruby and curling on the ice.