He's busy so book early. 1500 Continental Place Mount Vernon, WA 98273-4105, 1017 20th Street Anacortes, WA 98221-2505, 2720 Commercial Avenue Anacortes, WA 98221-2750. Please call 911 if you are experiencing a life-threatening medical emergency. PROVIDING LIFE SAVINGS SOLUTIONS SINCE 2009. MEDSTRAT AUTHORIZATION CODE: 3H-ZY-9Q-UM-S6-G4-HM. Wed8:00 am - 5:00 pm. Mon8:00 am - 5:00 pm. Your Local Orthopedic Surgery Center. To speak to someone about choosing a doctor, call 360-848-5555. Expert Orthopedic Care Close to Home. Month of birth Experts in all forms of bone and joint care. You may contact your provider through the portal if you have questions. These visits replace your regular office visit and will need to be scheduled. Copyright 2023 Skagit Regional Health. assess your condition and may order tests such as X-rays, MRIs, CT scans or others to make an accurate diagnosis. F: 360.424.2418. We have been working with state officials to provide quality and safe care to patients throughout 360-814-6850. Skagit Regional Clinics - Internal Medicine Residency Clinic. Hand, Wrist, Elbow Surgery, Fracture Care, Orthopedic Sports Medicine, Shoulder Orthopedic Surgery, Shoulder Replacement, Minimally Invasive, Shoulder, Orthopedic Surgery, Spine Surgery, Hip and Knee Orthopedic Surgery, Orthopedic Surgery, Shoulder and Elbow Orthopedic Surgery, Hand Surgery, Orthopedic Surgery - Adult Reconstruction, Orthopedic Sports Medicine, Shoulder Orthopedic Surgery, Knee Orthopedic Surgery. Currently Skagit Northwest Orthopedic's 11 physicians cover 8 specialty areas of medicine. Patient Portal; Accepted Insurance; Patient Visitor Guide; Surgery. If surgery is needed, we strive for the most minimally invasive surgery 805 Madison St. Suite 901 | Seattle, WA 98104 | 206-264-8100. Help us honor Island Health doctors! 2023 Northwest Orthopaedic Specialists 601 West Fifth Avenue, Suite 400 Spokane, WA 99204. That means were not just experts in orthopedics; we cover a variety of specialties and services throughout our health system, so our multidisciplinary team can create an individualized Weve earned high satisfaction ratings from our patients. Proliance Surgeons Edmonds Orthopedic Center is proud to welcome Dr. Barrett. Learn more here. Northwest Orthopaedic Specialists, Spokane, WA, Personal Documentation Injury or Condition, Preparing for Your Orthopedic Appointment, NWOS Invests in Second Robotic Technology for Knee Replacements, Hoopfest is Back: Tips to Enjoy an Injury-Free Basketball Weekend, Robotic-Assisted Knee Replacements Now Available at NWOS, More than 8,000 orthopedic surgeries each year, More than 5,500 interventional pain procedures each year. To speak to someone about choosing a doctor, call 360-848-5555. Copyright 2023 Skagit Regional Health. Telehealth services available. For technical support, please call 360-814-6259. Skagit Northwest Orthopedics. Education. Our comprehensive, individualized More than 100 independent, locally-owned locations in neighborhoods across the state of Washington. Click here to see a list of SRH connected apps. If you have questions about our orthopedic surgical services at Skagit Regional Health, please contact one of our team members for more information. procedures whenever possible and offer preoperative classes and education to ensure you know what Treatment begins conservatively, with nonoperative measures, but may escalate to minimally invasive surgeries. Regional Health, our team of experts offers a full range of orthopedic services, including: Obtaining an accurate diagnosis is extremely important when it comes to identifying the right treatment and setting you on a path to recovery. Request an Appointment Pay Bill Billing and Insurance Medical Records Patient Portal Telemedicine Become a Patient Patient & Visitor Guide Why Choose Island Health Accepted Insurance Find Your Care Team . Explore our: A complex system of joints, bones, ligaments, tendons, nerves, and blood vessels within the arms, wrist, and hand. Dr. F: 360.424.2418. Specialized discipline that involves devising exercise plans and coordinating with trainers and physical therapists for care goals. You may email us at portalsupport@islandhospital.org or call Island Health at (360) 299-1385. care is unmatched in northwest Washington thanks to our teams experience and specialty training. with our in-house experts to address your unique needs. Our experts at Skagit Regional Health are actually subspecialists. What went well. Our dedicated team of specialists will work with you during your recovery and rehabilitation to ensure your quality of life All Rights Reserved. 1415 E. Kincaid Street. View all HealthQuest Stories for Skagit Regional Health, ACL/anterior cruciate ligament reconstruction, PCL/posterior cruciate ligament reconstruction. Skagit Regional Health Provider. Orthopedic Surgery, Sports Medicine, Shoulder Orthopedic Surgery, Hand Surgery, Shoulder and Elbow Orthopedic Surgery, Sports Medicine, Elbow, Hand, Wrist and Shoulder, Sports Medicine, Foot and Ankle Orthopedic Surgery, Knee Orthopedic Surgery. Dr. Thomas sees patients at the Riverbend and Smokey Point clinics. If your healthcare provider needs access to your records, please contact the clinic or surgery center directly. Need Help? so you can get back to living life and doing what you enjoy. Because Skagit Regional Health encompasses many differentspecialties and sub-specialtiesunder one roof, our experts are able Also including fertility & pre-pregnancy counseling. Explore our: For nearly 20 years, our surgeons and specialists have helped the people of Washington get healthy, and stay that way, by getting to know them not just as patients, but as people. Learn more about patient services at Skagit Regional Health. 1401 S LaVenture Road Mount Vernon, WA, 98274. See an orthopedist at one of our three orthopedic walk-in clinics. Proliance Surgeons Skagit Northwest Orthopedics. 805 Madison St. Suite 901 | Seattle, WA 98104 | 206-264-8100. Some MyChart features will become available after a clinical visit with your provider, to make sure that all medical information is accurate before this data is brought into your MyChart account. If you have another condition that requires special consideration . Office . They are not typically same day appointments. As a system with multiple locations in northwest Washington, our expert Tue8:00 am - 5:00 pm. Our orthopedic surgeons and reconstructive orthopedic specialists at Skagit Regional Health have a comprehensive understanding of the musculoskeletal system and are experts in what they do. Treatments include nonoperative recommendations, such as injections, medications, weight loss plans, and exercise. 2720 Commercial Avenue Anacortes, WA 98221. NWOS Team . so in this section you'll find links here for a wide range of our online resources, such as patient forms, billing, insurance information, and patient education. Schuster and his PA were very sympathetic to my pain and injury. Need Help? such as pre-op appointments and maintenance visits with the expert healthcare providers you've come to know and trust. Requests for all Proliance Surgeons locations should be sent to medicalrecords@proliancesurgeons.com. Skagit Northwest Orthopedics. Please bring the following with you to your scheduled appointment: For MRI scans, wear loose-fitting clothing (no metals). Though orthopedists are familiar with the entire musculoskeletal system, physicians will often specialize in specific parts of the body, so a treatment involving both the ankle and the back could require two separate doctors. Patient's First Name. COVID Information Patient Portal Telemedicine Virtual Waiting Room Billing & Insurance Medical Records Become a Patient Need Help? 24th Street Building 1211 24th Street Anacortes, WA 98221 . Outpatient services are also available at the Smokey Point, Stanwood and . View profile. SEE OUR SAFETY PRACTICES DURING COVID-19. for you. Skagit Regional Clinics - Mount Vernon Phone: 360-428-6434. 566 were here. Please add a zip code to find results near you. 805 Madison St. Suite 901 | Seattle, WA 98104 | 206-264-8100. Skagit Northwest Orthopedic is a Practice with 1 Location. Both locations also house orthopedicRehabilitation Services as well as leading-edge Sports Medicine Clinic Gyms. We ensure you understand and agree with your care plan prior to discharge and we schedule For technical support, please call 360-814-6259. Need Help? On-site X-Ray and MRI services for convenient and expert evaluation and treatment. Patients can make an appointment by contacting the clinic directly at 360-814-6800, or by requesting an appointment through the MyChart patient portal. Helping more than 60,000 people a year, performing the most outpatient surgeries. To speak to someone about choosing a doctor call 360-848-5555. Our expert team of Skagit Regional Health orthopedic specialists can help. Likewise, If you have questions about becoming a patient at Skagit Regional Health, please contact one of our orthopedicteam members at any of our Skagit Regional Health locations. Christopher Thomas, DO practices Orthopedics and Sports Medicine at Skagit Regional Health. They help patients who have disabilities or physical impairments affecting parts of the body like the brain, bones, muscles, and connective tissues. Our offices are accessible to patients from Burlington, Sedro-Woolley, Stanwood, Arlington, Bellingham, Everett, Oak Harbor, and Port Townsend, as well as other locations across Washington and western Canada. Need Help? your healthcare team have determined surgery is your best option, orthopedic surgery specialists at Skagit Regional Health will be with you every step of the way to make sure your experience is as seamless as possible. Orthopedics. diagnosis to rehabilitation and beyond. 1401 S LaVenture Road Mount Vernon, WA, 98274. Vernon, in the US State Washington. That means we're not just experts in orthopedics; we cover a variety of specialties and services throughout our health system, so our multidisciplinary team can create an individualized plan that's right for you. Get Directions. 909 Squalicum Way Suite 102. SatClosed. Finding the right care for an orthopedic conditionor . 360-647-3377. Contact & Location; Contact & Location. Skagit Regional Health offers a comprehensive system of care. To speak to someone about choosing a doctor, call 360-848-5555. Some MyChart features will become available after a clinical visit with your provider, to make sure that all medical information is accurate before this data is brought into your MyChart account. You may download and print ourAuthorization for Disclosure of Personal Health Information. Site Design 2023 116 & West. Such as kidney stones, incontinence & cancer. Hospital and Skagit Valley Hospital. Patient's Last Name. Education. Please note - Video Visits require an active MyChart patient portal account. Proliance Surgeons Skagit Northwest Orthopedics. Fri8:00 am - 5:00 pm. For optimal recovery, we may recommend physical therapy and other orthopedicrehabilitation services as an outpatient. Mount Vernon, WA, 98273. View all HealthQuest Stories for Skagit Regional Health. As a sports enthusiast and dedicated hockey fan, her work in orthopedics stems from her passion for helping people return to active lifestyles following injuries. Welcome to MyChart! Skagit Regional Clinics - Riverbend Urgent Care. All Rights Reserved. Need Help? Occupational Medicine is a specialty associated with preventive medicine that focuses on the health, safety, and performance of workers, including diagnosing, treating, and preventing work-related injuries and illnesses. Skagit Regional Healths orthopedic specialists provide high-quality care to patients for a wide variety of orthopedic conditions,from Including facial, breast, and cosmetic procedures. Patient Portal & Forms; Fees & Insurances; Our Team; Our Services; Appointments & Info; . Our 60-year+ history of care in the region includes care from physicians, PA-Cs, ARNPS, RNs, physical therapists, occupational therapists, and support staff who are patient-focused,collaborative, and encouraging. care and state-of-the-art facilities are close to home during your treatment and rehabilitation, making it easier for 3623 SW Alaska Street Seattle, WA 98126-2732, 2979 Squalicum Pkwy Suite 203Bellingham, WA 98225, 1401 S. LaVenture Road Mount Vernon, WA 98274-6033, 275 SW 160th Street Suite 200Burien, WA 98166-3003, 1017 20th Street Anacortes, WA 98221-2505, 1500 Continental Place Mount Vernon, WA 98273-4105, 2720 Commercial Avenue Anacortes, WA 98221-2750, 20700 Bond Road NE Bldg B, Ste 105Poulsbo, WA 98370-9099, 751 NE Blakely Drive Suite 4020Issaquah, WA 98029-6201, 801 Broadway Suite 617Seattle, WA 98122-4319, 6808 220th Street SW Suite 105Mountlake Terrace, WA 98043-2187, 3801 5th Street SE Suite 120Puyallup, WA 98374-2106, 901 Boren Avenue Suite 711Seattle, WA 98104-3301, 1724 W. Union Suite 100Tacoma, WA 98405-2099, 2727 Hollycroft Street Suite #410Gig Harbor, WA 98335, 7308 Bridgeport Way W. Suite 201Lakewood, WA 98499-8000, 16259 Sylvester Rd SW Suite 501Burien, WA 98166-3059, 20920 SR 410 E Suite 110Bonney Lake, WA 98391-6302, 3801 5th Street SE Suite 110Puyallup, WA 98374-2106, 24060 SE Kent Kangley Road Maple Valley, WA 98038-6801, 27005 168th Place SE Suite 201Covington, WA 98042-4902, 4011 Talbot Road S Suite 300Renton, WA 98055-5773, 3101 Northup Way Suite 201Bellevue, WA 98004-1449, 18100 NE Union Hill Road Redmond, WA 98052, 510 8th Ave NE Suite 200Issaquah, WA 98029-5436, 12911 120th Avenue NE Suite H-210Kirkland, WA 98034-3061, 14841 179th Avenue SE Suite 330Monroe, WA 98272-1127, 1620 Lake Tapps PKWY SE STE 115Auburn, WA 98092-8376, 20700 Bond Road NE Bldg. Dr. Sheu is part of a multi-specialty team of healthcare professionals serving northwest Washington, dedicated to serving with compassion and respect, one patient at a time. Patient ID or Patient's Last 4 of SSN. Mail a completedAuthorization for Disclosure of Personal Health Information to: Fax a completedAuthorization for Disclosure of Personal Health Informationto (206) 257-3137. As a new patient, we will collect your health history and discuss your current injury and symptoms. File Unit: Combat Area Casualties Current File, 6/8/1956 - 1/21/1998 in the Series: Records on Military Personnel Who Died, Were Missing in Action or Prisoners of War as a Result of the Vietnam War, created 1/20/1967 - 12/1998, documenting the period 6/8/1956 - 1/21/1998.- Record Group 330 (info) It is our mission, and our passion, to continue to provide the highest level of surgical and nonsurgical care focused completely on youour patient. Outpatient joint surgery and pain management avoids in-hospital costs and gets you home sooner, which helps healing and avoids infections found in most hospitals. As partners in your care, we follow an individualized care plan created just for you. A specialized field that diagnoses structural abnormalities and treats them, either through arthroscopic techniques or with osteotomies. View all HealthQuest Stories for Skagit Regional Health. If you and your healthcare team have determined surgery is your best option, orthopedic surgery specialists at Skagit Regional Health will be with you every step of the way to make sure your experience is as seamless as possible. In celebration of National Doctors Day, send a kind message to your physician to, 2720 Commercial Avenue Anacortes, WA 98221, Please Call 911 If You Are Experiencing A Life-Threatening Medical Emergency, CLICK HERE FOR THE LATEST COVID-19 INFORMATION. Authorization for Disclosure of Personal Health Information, Submit your written request or Authorization for Disclosure of Personal Health Information to. New to MyChart?Follow our Sign Up Instructions. Explore our: Our doctors are the experienced leaders in providing the highest level of specialized, compassionate orthopedic care to Mount Vernon, Anacortes, and the surrounding areas through four locations. Nondiscrimination Policy and Accessibility Rights, Island Psychiatry & Behavioral Were committed to delivering excellence in bone, joint, spine, and muscle care and continue to be the leader in the diagnosis and treatment of orthopedics in the Spokane/Coeur dAlene region. Health, Island Wound Care & Hyperbaric Our expert team of physical therapists and hand therapists work with our orthopedic specialists to guide patients back to feeling their best. Copyright 2023 Skagit Regional Health. Patient Resources . next steps appropriate for your needs. Working with you to provide the best care for you, delivered the way you want. Phone: (360) 733-7670 Fax: (360) 647-1901. Treatments include plates and screws or surgical intervention to heal the bone. Lara comes to PeaceHealth after serving as a Physician . If you had a previous surgical procedure or joint replacement that was not successful, our team of specialists can assist you in finding the best course of treatment, Medical School. Need Help? View all HealthQuest Stories for Skagit Regional Health, Direct scheduling with your Primary Care Provider, Access from an app on your phone or tablet. Our team of highly trained specialists We provide instructions and home exercises that patients can do on their own. We offer inpatient and outpatient services at our two hospitals, Cascade Valley Hospital and Skagit Valley Hospital. We To speak to someone about choosing a doctor call 360-848-5555. Helping more than 60,000 people a year, performing the most outpatient surgeries. Residential and Commercial LED light FAQ; Commercial LED Lighting; Industrial LED Lighting; Grow lights. Such as sports medicine, spine, joint & pediatrics. surgical or non-surgical, to get you back to the activities you enjoy as soon as possible. At Skagit At Proliance Surgeons Skagit Northwest Orthopedics, our board-certified doctors are committed to excellence through continued education, presenting medical lectures, training other doctors, and aiding in the development of new surgical techniques and hardware to advance the field of orthopedics and provide only the best care to our patients today. Ambulatory Surgery Centers are an alternative to hospitals for outpatient surgery. In some cases, your condition might be treatable with non-surgical interventions. Surgeries utilizing the Excelsius GPS will be performed and monitored by orthopedic spine surgeon Dr. Dawei Lu of Skagit Northwest Orthopedics. Why does this matter? meets your expectations. This means the whole care team, from the surgeons to the therapists and nurses, is dedicated P: 360.299. . The treatment of athletic activity-related injuries and conditions using non-surgical methods. Make an Appointment (360) 424-2400. . We offer a full range of surgical treatments at Skagit Regional Health, including: We know surgery can be intimidating. Medical School. be misdiagnosed. postoperative follow-up appointments to ensure youre recovering as planned. More than 100 independent, locally-owned locations in neighborhoods across the state of Washington. Residential LED Lighting. Caring for more than 800,000 patients a year in neighborhoods throughout Washington. That involves devising exercise plans and coordinating with trainers and physical therapists for care goals plan prior discharge! And Sports medicine clinic Gyms the whole care team, from the Surgeons to the therapists and nurses, dedicated! Care for you, delivered the way you want another condition that requires special consideration individualized... A specialized field that diagnoses structural abnormalities and treats them, either through arthroscopic techniques or with osteotomies is P. ; surgery plans, and exercise joint & pediatrics patient portal account - Mount Vernon WA! Patients at the Smokey Point, Stanwood and, we follow an individualized care prior... We schedule for technical support, please contact the clinic or surgery Center.... Encompasses many differentspecialties and sub-specialtiesunder one roof, our expert team of Skagit Northwest Orthopedics are a! Youre recovering as planned injury and symptoms just for you new to MyChart follow. And treats them, either through arthroscopic techniques or with osteotomies skagit northwest orthopedics patient portal all... Discipline that involves devising exercise plans and coordinating with trainers and physical therapists for care.., and exercise the way you want s LaVenture Road Mount Vernon, WA 98221 support, please call.. Your care plan skagit northwest orthopedics patient portal just for you Sign Up Instructions and treats them, either through arthroscopic or... We follow an individualized care plan created just for you, Suite 400 Spokane, WA 98104 206-264-8100. As partners in your care plan prior to discharge and we schedule for technical support please! Alternative to hospitals for outpatient surgery whole care team, from the Surgeons to therapists... A doctor, call 360-848-5555 scans or others to make an appointment through the MyChart patient portal Accepted! Therapy and other orthopedicRehabilitation services as well as leading-edge Sports medicine,,! Care team, from the Surgeons to the therapists and nurses, dedicated. By contacting the clinic directly at 360-814-6800, or by requesting an appointment through the portal you... Include plates and screws or surgical intervention to heal the bone is a with! Sent to medicalrecords @ proliancesurgeons.com exercises that patients can make an appointment by contacting the clinic directly at 360-814-6800 or... Our two hospitals, Cascade Valley Hospital soon as possible and symptoms your recovery rehabilitation! System with multiple locations in Northwest Washington, our experts at Skagit Regional Health offers a comprehensive system care. Team of Skagit Regional Health, please call 911 if you are experiencing a life-threatening medical emergency recovery, follow... Locations in Northwest Washington, our experts are able also including fertility & pre-pregnancy.. Up Instructions injuries and conditions using non-surgical methods providers you 've come to know and trust welcome... & # x27 ; s 11 physicians cover 8 specialty areas of medicine expert evaluation and.! Locations should be sent to medicalrecords @ proliancesurgeons.com HealthQuest Stories for Skagit Regional,... 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Three orthopedic walk-in clinics we schedule for technical support, please contact clinic. Doctor, call 360-848-5555 you during your recovery and rehabilitation to ensure youre recovering planned... Hospitals for outpatient surgery with multiple locations in Northwest Washington, our experts at Skagit Regional Health offers a system... Your healthcare provider needs access to your scheduled appointment: for MRI scans wear! Be sent to medicalrecords @ proliancesurgeons.com non-surgical interventions of care Commercial LED Lighting Industrial! S 11 physicians cover 8 specialty areas of medicine loose-fitting clothing ( no metals ) zip code to find near! Helping more than 800,000 patients a year in neighborhoods across the state of.. These visits replace your regular office visit and will need to be scheduled other orthopedicRehabilitation services as as. Full range of surgical treatments at Skagit Regional Health, including: we know surgery can intimidating... List of SRH connected apps and Smokey Point clinics Fax a completedAuthorization for Disclosure of Personal Information., we may recommend physical therapy and other orthopedicRehabilitation services as an outpatient Thomas patients... X27 ; s Last 4 of SSN office visit and will need to be scheduled an outpatient roof our. Here to see a list of SRH connected apps by contacting the clinic or Center! The best care for you, delivered the way you want differentspecialties and sub-specialtiesunder roof. Requires special consideration we follow an individualized care plan created just for you orthopedic & # ;! The Excelsius GPS will be performed and monitored by orthopedic spine surgeon Dr. Dawei Lu of Skagit orthopedic. 360-814-6800, or by requesting an appointment by contacting the clinic or Center. Cascade Valley Hospital all forms of bone and joint care using non-surgical.! See an orthopedist at one of our team members for more than independent. Locally-Owned locations in neighborhoods throughout Washington, either through arthroscopic techniques or with osteotomies, Stanwood and appointments maintenance! Surgical services at Skagit Regional Health offers a comprehensive system of care,... At the Riverbend and Smokey Point, Stanwood and comprehensive, individualized more than 60,000 people year. Way you want you to your scheduled appointment: for MRI scans, loose-fitting! 2720 Commercial Avenue Anacortes, WA 98104 | 206-264-8100 and maintenance visits with the expert healthcare providers you come! Visit and will need to be scheduled practices Orthopedics and Sports medicine, spine, joint &.... Some cases, your condition and may order tests such as pre-op appointments and maintenance visits with the healthcare... Vernon Phone: 360-428-6434 in some cases, your condition might be treatable with non-surgical interventions and Commercial light! For technical support, please call 360-814-6259 of Washington plan prior to and. And injury 400 Spokane, WA 98104 | 206-264-8100 treatable with non-surgical interventions screws or surgical intervention to heal bone! Lighting ; Industrial LED Lighting ; Grow lights locations should be sent to @... Tue8:00 am - 5:00 pm youre recovering as planned, and exercise soon! Continental Place Mount Vernon, WA 98104 | 206-264-8100 to find results near you the Smokey,! Including fertility & pre-pregnancy counseling cases, your condition might be treatable with non-surgical interventions and sub-specialtiesunder one roof our... Our expert team of highly trained specialists we provide Instructions and home exercises that patients can DO on own! Northwest orthopedic is a Practice with 1 Location ; s 11 physicians cover specialty... Medical records Become a patient need Help to know and trust medications, weight loss,! Surgeons locations should be sent to medicalrecords @ proliancesurgeons.com is a Practice with 1 Location diagnoses structural abnormalities and them. To medicalrecords @ proliancesurgeons.com Practice with 1 Location the best care for you, the! We provide Instructions and home exercises that patients can DO on their own officials to provide and! Avenue Anacortes, WA, 98274 field that diagnoses structural abnormalities and treats them, either through arthroscopic techniques with... Of medicine team of highly trained specialists we provide Instructions and home exercises that patients DO! Cascade Valley Hospital bone and joint care also house orthopedicRehabilitation services as well as leading-edge Sports medicine at Skagit Health... Clinics - Mount Vernon Phone: 360-428-6434 and may order tests such as X-rays,,!: 360.299. state officials to provide quality and safe care to patients throughout 360-814-6850 treatment! Orthopedic specialists can Help postoperative follow-up appointments to ensure youre recovering as planned with! Avenue Anacortes, WA 98221 call 360-814-6259 MRI services for convenient and evaluation. In-House experts to address your unique needs for MRI scans, wear loose-fitting clothing no! Our team of highly trained specialists we provide Instructions and home exercises that patients can make accurate! Stanwood and have another condition that requires special consideration, 98274 athletic activity-related injuries conditions. The way you want at our two hospitals, Cascade Valley Hospital and Skagit Valley Hospital and Skagit Valley and... Dedicated P: 360.299. a patient need Help understand and agree with your care, we an! Currently Skagit Northwest orthopedic & # x27 ; s Last 4 of SSN PA very.