Our amazing and caring staff provide top-notch service to our Anesis Spine & Pain Care patients.

Dr. Adam Burkey, MD, MSCE, FAAN

Medical Director

Dr. Burkey was raised outside of Philadelphia, Pennsylvania. He graduated from Williams College and Georgetown University Medical School.

During medical school, Dr. Burkey was awarded a two-year fellowship by the Howard Hughes Medical Institute to conduct laboratory research on the neuroscientific mechanisms of pain. Adam completed his medical internship in New York City at Columbia Presbyterian Hospital, followed by a three-year residency in Neurology at Washington University in St. Louis. Dr. Burkey then returned to Philadelphia where he pursued a fellowship in Pain Management at the University of Pennsylvania. Dr. Burkey simultaneously obtained a master’s degree in Epidemiology, measuring pain and neuropathy in cancer patients.

Dr. Burkey spent more than seven years at UPenn and then opened his own private practice in 2011. In 2015, Dr. Burkey moved to the State of Washington and is now the Managing Partner of Pain Care Physicians, PLLC and Medical Director of Anesis Spine & Pain Care. In addition, Dr. Burkey is the Vice-Chair of Pain & Palliative Care Section for the American Academy of Neurology, and on the Education Committee of the North American Neuromodulation Society. Dr. Burkey is a Scientific Advisor to the Mary E. Groff Charitable Trust, a private foundation focused on brain research, science, and education.

Dr. Burkey’s focus is to bring a multidisciplinary and collaborative approach to the treatment of chronic pain that limits opioids and improves functional quality of life.

Responses to Dr. Adam Burkey, M.D.


Renton Office:
801 SW 16th Street
Suite 121
Renton, WA 98057
Olympia Office:
155 Lilly Road NE
Suite A
Olympia, WA 98506


Everett Office:
3305 Nassau St.
Everett, WA 98201
Tacoma Office:
1628 S Mildred St.
Suite 102
Tacoma, WA 98465

Dr. Caroline Harstroem, MD

Attending Physician

Dr. Harstroem was born and raised in Sweden. She earned her Doctor of Medicine degree at the Medical University of Lublin, where she graduated with the Highest Achievement Award. During her clinical training, she received Honors with Distinction degrees as an exchange student at Harvard Medical School, MA, as well as during her time at Cornell University-affiliated hospitals in NYC.

After medical school, Dr. Harstroem completed her internship and anesthesiology residency at Wake Forest University, NC, where she trained and conducted research with some of the leaders and world-renowned pioneers in the field of pain medicine and neuromodulation. This inspired her to further specialize within this developing field, and she subsequently completed a fellowship in Interventional Pain Management at Virginia Mason Hospital in Seattle. She is a member of the American Society of Regional Anesthesia and Pain Medicine, North American Neuromodulation Society, Spine Intervention Society, American Interventional Headache Society, as well as the American Society of Anesthesiologists.

Dr. Harstroem focuses on a comprehensive, multimodal approach to improve pain and functionality, with an emphasis on interventional procedures to limit opioid usage. Her goal is to see her patients return to the activities they enjoyed before they were limited by chronic pain conditions.

Paul Schwartz, PA-C, LAC

Physician Assistant

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.


Tacoma Office:
1628 S Mildred St
Suite 102
Tacoma, WA 98465


Everett Office:
3305 Nassau St.
Everett, WA 98201

Warner Asch, MCHS, PA-C

Physician Assistant

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.


Spokane Office:
1414 N Vercler Rd, Building 5
Spokane, WA 99216

Byron Tatsch, NP-C, ARNP, MSN

Nurse Practitioner

Byron was born in Germany, and was raised in multiple locations, most prominently southwest Germany, northern New York, and central coast California. He earned his degree as a primary care adult gerontology nurse practitioner from Yale University in May 2021, with a strong emphasis in community care, neurology, and preventative medicine. Before becoming a nurse practitioner, his previous career involved luxury sales and marketing in California, as he completed his undergraduate degree at Northern Arizona University in Hotel and Restaurant Management.

Byron’s clinical interests include relieving chronic pain through routine exercise, steroid-based procedures, mindfulness techniques, and considering the patient’s entire medical profile. He also strongly believes that empathy, compassion, and active listening are integral to patient-provider relationships and patient well-being.

In his personal life, Byron greatly enjoys snowboarding in the winters, golfing in the summers, and challenging himself with local trivia nights in all seasons.

Anesis Spine & Pain Care

Providing multi-disciplinary care for those suffering from chronic pain.

Contact Us

Tel: 206-538-6300

Fax: 206-538-6301

Email: [email protected]

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