OUR TEAM

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

Dr. Adam Burkey, M.D.

Tacoma/Olympia Office:
1628 South Mildred St. Suite 104
Tacoma, WA 98465


Dr. Adam Burkey, M.D.

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.

Dr. Ryan Burklund, M.D

Dr. Burklund grew up in Gilbert, Arizona, and currently resides in Spokane, Washington with his wife and four children. He attended Northern Arizona University for undergraduate studies in Biology and Chemistry and The University of Arizona College of Medicine. He completed his internship in Internal Medicine and residency in Anesthesiology at Banner University Medical Center in Tucson, Arizona.

Dr. Burklund completed a Pain Medicine fellowship at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire where he was trained in the most recent techniques in interventional pain management. He was also trained to utilize a multidisciplinary approach to personalized pain management in patients with a wide variety of pain syndromes. In addition, he is affiliated with the American Society of Anesthesiologists, American Society of Regional Anesthesia, Spine Intervention Society, American Academy of Pain Medicine, American Society of Interventional Pain Physicians, and North American Neuromodulation Society. He is dual board-certified in Anesthesiology and Pain Medicine.

In his spare time, Dr. Burklund enjoys fly fishing, fine woodworking, playing sports, camping, and hiking.


Responses to Dr. Ryan Burklund, M.D
Attending Physician

Dr. Ryan Burklund, M.D

Spokane Office:
1414 N Vercler Road Bldg 5
Spokane, WA 99216

Attending Physician

Dr. Caroline Harstroem, M.D

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


Dr. Caroline Harstroem, M.D

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.



Zachary Kile, PA-C

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 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. He believes that patients can overcome their pain concerns and get back to living a productive and active life with simple interventional therapies.

In his spare time Zachary enjoys traveling, anything outdoors and spending time with friends.


Responses to Zachary Kile, PA-C
Physician Assistant

Physician Assistant

Renton Office:
801 SW 16th St. Suite 121
Renton, WA 98057

Physician Assistant

Physician Assistant

Tacoma Office:
1628 S Mildred St #104
Tacoma, WA 98465


Paul Schwartz PA-C, LAC

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, MCHS, PA-C

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.


Physician Assistant

Physician Assistant

Everett Office:
3305 Nassau St.
Everett, WA 98201

Physician Assistant

Physician Assistant

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


Brittany Johnson, PA-C

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

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.


Physician Assistant

Physician Assistant

Olympia Office:
155 Lilly Rd NE Suite A,
Olympia, WA 98506

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


Elizabeth Spokoiny, DNP, ARNP, FNP-C

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 many common 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. 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, traveling, jet skiing with her Havanese puppy Ruby and curling on the ice.


Anesis Spine & Pain Care

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

Contact Us

Tel: 206-538-6300

Fax: 206-538-6301

COVID – 19: 425-598-TEST(8378)

Email: info@anesispain.com

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