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Community Health Centers

GOODBYE MARCUS WELBY… Henri “Hank” Larmuseau and Eloi Hoopman, DO

Heaven Porter gets a quick check-up from Medical Assistant Jen Busseau

Bill Hunter, MD. Chief Medical Officer

Heaven Porter gets a quick check-up from medical assistant Jen Busseau. Gone are the television ideals of Dr. Kildare, Marcus Welby, even Doogie Howser and the image of an all-knowing, all-powerful doctor who is available 24/7, shouts orders and Putting the Community spouts medical jargon, doesn’t know you just in Community Health lost your job except during the Christmas hat we are doing here is providing absoSpecial, and always has perfect hair. lutely personal care. We’ve been here a In this series of articles celebrating Open long time and this is our community. Patients Door Community Health Centers’ 40th come to us because this is their community anniversary, you’ll read about team work and health center,” says Norman Bensky, MD, medical our team approach to providing health care. director of the Willow Creek Community Health Over the past several years, Open Door has Center (WCCHC) and long-time Willow Creek invested a great deal of time and energy resident. “This was my private practice. Then in developing a new model of care. What for a long time we were a clinic sponsored by St. does “team care” mean to you as a patient Joseph Health Systems and now we’re a part of of an Open Door clinic? In many ways it is Open Door Community Health Centers. Through a fundamental change in how you receive all of those organization changes, we have rehealth care. mained committed to quality healthcare and the In the team care approach, you benefit Willow Creek community. We have always tried

Willow Creek Community Health Center


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NorthCountry Clinic Caring for the Individual

hey will call you when they say they will call. If your provider cannot call you, another provider will make sure to call. This is unlike any health care I have received from other places. I’ve never felt so loved by a clinic,” says Hank Larmuseau. “They go the extra mile and do the extra research. That’s real concern. It gives me hope.” Hank has been going to NorthCountry Clinic since February 2005. As a result of his age and his specific health issues, his medical needs began to mount. Hank found that his providers went out of their way to thoroughly research his unique diabetic and mal-absorption issues and understand his lifestyle. With the help of this


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NorthCountry Clinic continued from page 1

Maria Spetzler, PA-C with patient Malcolm Hidalgo

Women’s Health Specialist Deborah Sweitzer, PA, meets with patient Kate Haff (left).

Physician Assistant Joan Hughes and patient Kyle Walker

research, and a collaborative effort fills, gets answers to my questions, and puts me in contact with my between Hank and his providers, doctor when necessary. To know they were able to find a treatment someone is there to help is an unplan to stabilize his medical issues, believable comfort.” a self-care plan that fit his daily routine, and significantly reduced his need for medications. “I feel so A Focus on Family much better. I have to pay attenFour providers established Northtion to what I do, but now I don’t Country Clinic (NCC) in 1976 as have to take so many pills and a way to expand access to health injections. What a relief.” care specifically for women and In addition to the genuine conchildren. Deborah Sweitzer, PA, cern Hank remembers feels from the early his prodays. “I’ve viders, been at NCC he feels 34 years. To know someone is there something I still love is an unbelievable comfort unique in my job. It’s the care he been a good - Henri “Hank” Larmuseau received ride. The from the four women entire staff. who started “I talk to NCC were Jessica a all working lot,” says Hank, referring to Mediat the Humboldt Open Door Clinic. cal Assistant Jessica Quigley. “She They saw a need in the community helps me with my prescription reand opened NorthCountry Clinic for




Women and Children. I began with the clinic the next year, 1977, and have been here ever since. In order to stay financially solvent we widened our scope to be a full family practice clinic. We have always retained our commitment to serving women and children and I have been a part of the women’s health program for the duration of my career here. Our clinic has always attracted providers who are dedicated to high quality care, access, and health education to empower patients to make healthy, informed choices. We have a quality core group of providers and staff. Even though our clinic has gone through changes over the years, the quality of care has never been compromised, nor has the mission at the heart of what we do.” “We are always accepting patients for women’s health,” continues Deborah. “We try to keep our clinic feeling like a small intimate setting. We remain committed to offering women the option of being

seen by women providers for their care. Open Door patients establish a primary care provider but women can choose who they want to see for their women’s health needs. We want women to feel comfortable when discussing potentially sensitive but very important information. It is meaningful to build a relationship with the provider they see year after year.” The team at NCC has grown since 1976 and the demand for quality health care has increased. NorthCountry Clinic now offers comprehensive services for the entire family. “NorthCountry grew out of Open Door in the 1970’s to focus on providing care for women and children. It came full circle in 2000, returning to Open Door to offer our community more effective and efficient healthcare on the north coast”, says Julie Ohnemus, medical director at NorthCountry Clinic and Open Door Community Health Centers’ associate medical director. “For years we provided

prenatal and obstetrics care for Open Door patients. Because of the increasing demand, we recently opened Northcountry Prenatal Services in the Shaw Pavilion at Mad River Community Hospital. Now all prenatal and obstetrics care is provided in the new facility.” Joan Hughes, PA-C, has been working with NorthCountry for 30 years. Joan loves the relationship she builds with her patients from generation to generation, “It is fun to have families come in for prenatal care and then watch the family grow. Our relationships as medical providers grow. I find tremendous satisfaction and reward in my job. It is such a gift. Anything we give, we get back multi-fold,” says Joan. “Prenatal may have moved, but we’re still very much connected.” Deborah agrees, “I have patients I’ve seen since we first opened and now I see their children and grandchildren.” Maria Spetzler, PA-C, adds, “I love working at this clinic; it truly represents a family practice. We see everybody from elderly to newborns.“

It Takes A Team

“NorthCountry Clinic has great synergy, all the parts work together to contribute to the whole” says Deborah Sweitzer. “Our staff is committed to the patients and to working with each other. Every one of our front desk receptionists, medical assistants, nurses and providers has an essential role in keeping the machine that is the clinic working efficiently,” notes Maria Spetzler. Joan Hughes concurs, “Medical care begins when the patient picks up the phone to call the clinic. Our receptionists recognize

that the person calling needs the reassurance that they can get the care they need, that they called the right place.” Molly Rombalski, RN, has worked at NorthCountry for nine years. “I worked in hospitals before coming to NCC. I found a level of respect at the clinic that I didn’t see in other places. I feel I have a voice and my opinion is valued. Everyone’s

skills are appreciated and used to the fullest benefit of our patients. There are many things I can help patients with. That frees up providers to see more patients. We are not just more efficient, we’re more effective. I believe in this type of health care.” Dolly Bott is the Behavioral Health Case Manager at NorthCountry Clinic. “I am an advocate for

the patient. What I do supports the patient and that in turn supports the medical care we provide as a clinic. When people are homeless, jobless, hungry or without transportation, their health suffers. If a patient can’t afford healthy food or needed medication, we’re spinning our wheels. I try to make sure continued on next page ➤

Notes from Julie Ohnemus, MD I came to NorthCountry Clinic because of its mission to provide care for everyone, regardless of social status, income or insurance; and its focus on community health. We see a broad spectrum of patients, from HSU professors to homeless individuals. With each person who walks through our door, we do our best to listen, respond to their concerns and provide high quality health care. I will always remember a homeless person with a severe psychiatric disorder saying to me, “Every time I come here, I feel like the ‘king of the day’.” That’s the way I want all of our patients to feel. NorthCountry Clinic has always focused on education. We want our patients to be full participants in their health care. We address the whole person with our case management, behavioral health services and medical care. NorthCountry Clinic serves as the buprenorphine (or Suboxone) treatment center for Arcata. Suboxone is an office-based treatment for opiods dependence, including heroin and medications such as methadone, Vicodin and Oxycotin. These medications

all have value, but they can be abused. With this program we seek to reduce the chemical dependency and offer the patient the opportunity to redevelop their self esteem and self confidence; the vital emotional journey necessary to avoid relapse. Often with addiction people exist in two different worlds: their public persona with family or work; and their shadow life of addiction. To be successful in recovery there needs to be a conscious effort to overcome the shame, guilt, and other emotions that accompany addiction. We’re working together to create a foundation of self value to guide better choices in the future. Open Door also provides suboxone treatment at its Eureka and Del Norte clinics. I was a part of creating the Humboldt Community Breast Health Project because we needed something beyond medical care. As a doctor, there is only so much I can do. By creating partnerships, promoting healthy survivorship, and supporting each other, we increase our power to heal and enjoy life. ❖

Julie Ohnemus received her MD from the University of Arizona College of Medicine in 1988. She joined NorthCountry Clinic in 1991 and is the clinic’s medical director as well as associate chief medical officer of Open Door Community Health Centers. Dr. Ohnemus has also been director of Open Door’s behavioral health and psychiatry programs. For more information about the Humboldt County Breast Health Project, please visit



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The staff at NorthCountry Clinic on the Sunset Bridge in Arcata

patients can get the support they need. I also work hard to make sure that patients get access to medical care. Open Door clinics see everyone but many specialists do not. I work to create the connections necessary for our patients to get the special medical care they need.” “When I started with Open Door,

I was seeing patients from NorthCountry Clinic exclusively. Now I see patients referred from any clinic in the Open Door system. I’m a Humboldt County native. I’ve been doing case management for quite a while. Fortunately, I have a lot of good contacts.” explains Dolly. “All of us believe in the team approach and all of us


believe that we need to address the patient as a person who has a range of needs and dreams, not just a specific problem.” Another member of the team at NCC is Lezlie Scaliatine, Psy.D, a licensed clinical psychologist. “As providers, we work with our patients by starting with each person’s needs and strengths. I take a “whole-person” approach because physical health and mental health are absolutely connected, and both are connected to the person’s environment and support system.” Lezlie notes that NCC uses an interdisciplinary approach, “I work with Dolly, Molly, our other nurses and medical providers and they work with me. What we do supports directly the medical care and the patient’s overall health. I look outside of the immediate medical needs and help patients develop strategies for dealing with anxieties, stresses and behaviors which may be contributing to the health problems. This includes understanding a person’s home environment, the people they surround themselves with, and their habits and choices. Together we set goals designed to achieve better physical and emotional health.” Molly Rombalski explains, “Genuine quality care goes beyond our individual efforts.” Molly spends much of her time talking to patients on the phone, assessing their needs or following-up on their progress and then coordinating with other providers in the clinic. “When a provider and a patient work out a treatment plan, we may need Dolly’s expertise to help the patient pay for the medi-

cations. We may need Lezlie’s skills to help the patient address some behaviors. I often need to provide education so the patient knows how to use the medication. And we all keep each other informed so that adjustments can be made. We work with people who may have difficulty managing their whole life picture, medically and socially. We’re coaching, modeling appropriate behavior, educating, bringing in family support and asking about problems and progress.” Joan Hughes comments, “One of the things that is so wonderful about the care provided at NCC is that we have a wide variety of resources to use. Not everyone needs such a comprehensive team approach, but it’s reassuring to know it’s available. I often see patients with multiple issues, ranging from physical health to psychological well-being. I have the resources right here to address so much of what may be troubling someone. I really enjoy working for the wellbeing of the person. I can go far beyond the medicine.” ❖

➤ Visit northcoast to view past editions of Open Door Special Sections ➤ Visit for expanded versions of these articles and to learn more about Open Door Community Health Centers

Willow Creek Community Health Center continued from page 1

can’t handle everything – and there is an ambulance service in town for real emergencies – but for most non-life-threatening issues, we don’t expect someone to drive to the emergency room in Arcata or Eureka. For those people who are established patients of the clinic, we’re on call 24/7. It’s a real benefit of being a WCCHC patient.” “We don’t have a lot of direct services in our community. There is no hospital, no home health agency, no hospice and WCCHC also has a comprehensive dental clinic open to children and adults. Above left, Dr. Jung examines Willow Creek resident Jan Joki. Above right, the WCCHC dental team (from left): Heather Callagan, July Gallamore, Paul Jung, Teresa Allen and Laura Borden. The October 27th North Coast Journal no specialty medical care Special Section will highlight Open Door dental services. providers in the Willow Creek community. We do supports the quality of life and to be the “family doctor” for our many of our patients need.” have to travel to the coast, or what the clinic does supports the friends and neighbors.” “I work closely with the clinic the services on the coast have to quality of health.” “This clinic is an essential part to serve our constituents well,” travel to us. That is why our clinic The Willow Creek Community of the community,” says Tamara says Tamara. “We’re an outpost has some things, like X-ray, that Health Center provides medical Jenkinson, the coordinator of the for lots of things. We help with other Open Door clinics don’t have. Willow Creek Community Resource patient assistance programs, senior care for all ages, including We need to be able to take care of pediatrics, immunizations, wellness Center. The Resource Center, services and finding caregivers, many things right here,” explains check-ups for operated by St. Joseph Health CalWorks, Dr. Bensky. In addition to his duties men, women System – Humboldt County, is Medi-Cal at the clinic, Dr. Bensky worked and children not part of the community health applications, for many years at the emergency and treatment center, but it is located in the the County department of Redwood Memorial for a wide same building. “We work with a Mental Health Hospital in Fortuna. “I know For those people who are range of lot of the same people, providing branch; you Highway 299 better than I’d like to. established patients of the clinic, acute illnesses different services while focusing on name it and It is not easy on a clear day when and chronic the same goals.” we’ll try to you are feeling healthy. It is a real we’re on call 24/7. It’s a real conditions. It is trial for someone who is ill. We’re “Having Tamara and the resource help. In one benefit of being a WCCHC patient. also a place for committed to being responsive center next door is awesome,” case, I walked urgent care. says Erika Dykehouse, registered into Ray’s and flexible; we never know what’s - Erika Dykehouse “We get cuts, nurse and RN Coordinator of the Supermarket coming.” burns and Willow Creek Community Health and saw a other tourist Center. “There is a door between flyer for a Bringing Resources and camping the resource center and the clinic. job. I knew to the Community related injuries We send patients to Tamara’s someone who As Dr. Bensky notes, there are all summer office and she sends community had just lost few direct services in Willow Creek. long,” says Erika Dykehouse. “In members to the clinic. We provide her job. We sat down that day and “It’s a great place to live, but you the fall, we are prepared to stitch health care and the resource center worked on her application. Perfect up a few chain saw accidents. We provides the support services so timing. She got the job. What we continued on next page ➤





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to leave the clinic.” Available have to accept the fact that it is a telehealth services routinely small isolated town. Even grocery include behavioral health, diabetic shopping can require a ‘trip down education the mountain’ and care, and to the stores specialists at on the coast. UC-Davis and It is difficult other medical for a lot of centers in our patients California. “We to get the full have several range of care patients who they need. Our participate population is in the getting older buprenorphine and the need treatment for care is groups at increasing at NorthCountry the same time Clinic in Arcata. the resources They don’t and patients’ have to spend ability to travel the time and is decreasing.” money to get In response, the Norman Bensky, MD, Medical Director to Arcata, they Willow Creek can connect Community from our clinic,” Health Center explains Laura. is making A busy medical more use of What we are doing here is assistant most telemedicine, providing absolutely personal of the time, the linking of care. We’ve been here a long Laura and the patients in team at Willow Willow Creek time and this is our community. Creek recognize with providers - Norman Bensky, MD the value of in other parts telemedicine. of the state “My role using realgoes beyond time video scheduling and connections. making the video connection. I “Telemedicine is so necessary make sure to keep communications here,” says Laura Earls, medical flowing between the patient assistant and telehealth and the specialist, the specialist coordinator at the clinic. “We can and our providers, and our connect our patients to services providers and the patient. We in Eureka just as easily as San often take on the responsibility Francisco or San Diego. We can for following through with the access a wide range of specialty specialists' recommendations, so care, and our patients never have




vital that I connect to the people who use this clinic, they are really my neighbors. Dr. Bensky introduces me to patients and that helps break the ice. It’s up to me to create the special relationships that make for partnerships with my patients.” “I am passionate about teen Healthy Teens; choices and education,” states Healthy Community Kara. “Educated and informed “Patients are always happy to young people make better choices hear that I am a member of the about their behavior and about community,” says Kara Zartuche, their health. I am concerned about nurse practitioner and coordinator the health and future of our teens. of the recently launched Teen Clinic And healthy young people help at the Willow Creek Community keep our community healthy.” Health Center. Raised in Arcata With experience in school-based and a former patient at one of clinics, Kara has a head start in Open Door’s clinics, Kara moved this area. Modeled after successful to Willow Creek when she took her Teen Clinics at other Open Door job at the clinic there. “I’ve been clinics in Arcata, Crescent City and here about six McKinleyville, months. This is Kara eagerly the community I volunteered to want to live and spearhead the work in.” Kara development joined the staff of this new at WCCHC after program for completing the Willow Creek. In FNP program at establishing the Samuel Merritt Teen Clinic, Kara University in has consulted December. “I extensively am really happy with medical to be here,” assistant Jackie she beams. Singletary, who “I wanted to will help staff work in a family the new clinic practice clinic. service, and the I see babies, other providers Kara Zartuche, FNP, family practice teenagers, and and staff at provider and coordinator of the new WCCHC Teen Clinic older adults. I’m the clinic. “I’ve always learning also talked something new, with people in and I sincerely enjoy getting to the community, my neighbors and know the people around here. With my family. We want to understand a small tight-knit community it is the need and the community and understanding and communication is critical. I want to make sure the patient is informed, comfortable and part of the process. Our team is constantly looking for ways to connect our patients to available resources using telemedicine.”

respond accordingly. Teens are going through so much change and growth. We support the choice of abstinence and we also need to provide medically accurate information about reproductive health.” The Willow Creek Teen Clinic provides a safe and confidential place to ask questions, discuss health issues and build confidence. “Maintaining reproductive health is important; however, we want to offer a service that addresses overall health for teens, including resources to make informed decisions and strategies to help alleviate the pressures that come with young adulthood.” “First we need to establish a foundation of trust and privacy. And we want to create a warm, welcoming and informal atmosphere. Health care is important, but we want a fun place where teenagers can feel safe,” says Kara with a smile. Trained teen advocates, teenagers themselves, will serve as receptionists and resources at the Teen Clinic. Walk-in Teen Clinics are offered every Tuesday from 2:00pm until 5:00pm at the Willow Creek Community Health Center. Services are available at other times by appointment. Kara invites dialogue. "Community members are welcome to stop by the Willow Creek clinic and talk to us. We welcome your questions and comments." For more information, please visit www. ❖

The Community in the Clinic “I filled in here briefly in 1985,” says Jane Manning, PAC, “and said that if there was ever a regular job opening, I wanted it.” A short while later Jane got her wish and has been with the clinic since 1986. “I felt instantly connected and knew this was the spot for me.” While Jane has a busy family practice from pediatrics to geriatrics, “I’m especially committed to serving the health needs of women in our community. Having been here for 25 years, I’ve grown right along with the women I serve, working through the changes that come with the various stages of life.” Jane hasn’t just worked in Willow Creek for 25 years, she lives here and that “helps me understand our community and our patients.” Jane notes, "I have patients who were brought to me for their 2-month well-child check and now I’m doing the 2-month wellchild checks for their kids.” Erica Dykehouse, RN was first introduced to the clinic when she worked with Tamara Jenkinson in the resource center in 2002. “Then I started volunteering at the clinic doing filing and helping out anyway I could. I just loved the environment.” Motivated by what she saw happening in the clinic, Erica enrolled in the nursing program at HSU. “When I first graduated, I took a nursing job in Chico, but when a job became available at the clinic, I moved right back.” Originally from Indiana, Erica proudly claims 10 years as a Willow Creek resident. “The best part of my job here is seeing what we can do for the patients. The providers, nurses, medical assistants, front desk – everyone – works as a team. We forge some unique connections with our patients. We all live here together.” “Dr. Bensky sets the pace and the attitude and the rest of us follow his lead,” says Erica. “Dr. Bensky makes sure that all patients have what they need, even

The staff of the Willow Creek Community Health Center

if it means staying late. I know there are days when he’d rather be on the river – he does love to fish – but he also cares for his community.” Having lived here for more than 20 years, Dr. Bensky is indeed a recognizable member of the community. According to Erica, “Dr. Bensky encourages us to treat each and every patient with the same kindness and concern that we would want for our own family members. One of Dr. Bensky’s favorite questions is ‘If that was your mother or grandfather, what course of action would you take?’ That really puts things in perspective.” Many other employees of the clinic are also residents of the Willow Creek area. “We bring our connections, our experiences, and our knowledge to work with us every day,” explains Kat Napier, Site Administrator. “I believe that makes us better prepared and more responsive to the needs of our patients.” On a concluding note, Tamara Jenkinson adds, “I work for the resource center, so I see what the clinic does every day. I’m also a patient at the clinic, so I know what they have done for me. I am struck by how much they care about the community. I have really loved working with the people here. It is a real joy.”



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from the knowledge, perspectives and availability of a group of skilled and talented health care professionals who work together, communicate and seek the best possible ways to address your needs and goals as a person, not just a patient. This approach expands greatly our abilities to provide preventive care, education, help you establish wellness activities and make informed decisions. We are concerned about where and how you live. We want you to be involved in making decisions about your health and health care. This requires information, involvement and communication. We can use the speed of our electronic health records to better manage your care and contact you for necessary exams and follow-ups. Our medical assistants will help make sure your immunizations and health screenings are up to date. Our nurses can help adjust your medications and answer questions about your prescriptions. Our receptionists will let you know when you are due for services, including lab tests and follow-up exams. Our behavioral health team can address your lifestyle and emotional needs. And we can connect you with social services folk who can help with housing, benefit eligibility, and other supports. We’ve added “MyChart” so you can see parts of your medical record with a secure online connection and communicate with your provider using secure email. Together we can prevent many future health issues, improve your ability to manage your health, and achieve better outcomes from our work together. When we talk about team care, we very much include you on the team. In practice, we want the clinic – not just your primary care provider – to be the first place you think of when you need health care. We don’t want you to wait or go to the emergency room unnecessarily. Team care allows us to see you more rapidly when you are ill and to schedule regular check-ups as a way to help you maintain your health. This is a long-term process that involves everyone in the Open Door system – including our patients. We’re not yet where we want to be, but I’ve already seen the benefits in the health of our patients and the quality of our communication. For more information please visit ❖


Administrative Offices: 670 Ninth Street, Suite 203 • Arcata, CA 95521 • 707-826-8633 • Arcata HUMBOLDT OPEN DOOR CLINIC 770 Tenth Street, Arcata, CA 95521 707-826-8610 NORTHCOUNTRY CLINIC 785 18th Street, Arcata, CA 95521 707-822-2481 NORTHCOUNTRY PRENATAL SERVICES 3800 Janes Road, Suite 101, Arcata, CA 95521 (in the Shaw Pavilion of Mad River Community Hospital) 707-822-1385 • Crescent City DEL NORTE COMMUNITY HEALTH CENTER 550 East Washington Blvd, Crescent City, CA 95531 707-465-6925 - Medical 707-465-4636 - Dental • Eureka BURRE DENTAL CENTER 959 Myrtle Avenue, Eureka, CA 95501 707-442-7078 EUREKA COMMUNITY HEALTH CENTER 2412 Buhne Street, Eureka, CA 95501 707-441-1624 TELEHEALTH & VISITING SPECIALIST CENTER 2426 Buhne Street, Eureka, CA 95501 707-442-4038

• McKinleyville McKINLEYVILLE COMMUNITY HEALTH CENTER 1644 Central Avenue, McKinleyville, CA 95519 707-839-3068 - Medical 707-839-2677 - Pediatrics • Willow Creek WILLOW CREEK COMMUNITY HEALTH CENTER 38883 Route 299, Willow Creek, CA 95573 530-629-3111 - Medical 530-629-1941 - Dental All clinics will do their best to accommodate your immediate needs; however, there may be a waiting list at some clinics to establish care for new patients at this time. Open Door clinics offer either family practice/primary care medical services or dental services for children and adults. Several clinics offer both medical and dental services. While not available at all sites, other services provided to patients of Open Door Community Health Centers include: • • • • • • • • • • • •

Behavioral Health and Counseling Services Evening and Saturday Hours HIV/AIDS and Hepatitis C Care Nutritional Counseling Opiate Dependency Treatment Pediatric Services Psychiatry Specialty Medical Care Teen Health Clinics Transgender Health Clinic Urgent Care (Walk-In Services) Wellness and Health Maintenance

Articles by Breanne Sorrells, Development Associate, and Julianne Barnum, Advancement Assistant, Open Door Community Health Centers; editorial contributions by Christopher Peters, Chief Advancement Officer, Open Door Community Health Centers Most Photography by Paul Swenson Photography, Layout and graphic design by Siobhan Calderwood, North Coast Journal Please visit to read expanded versions of these stories and discover more about Open Door. Comments may be addressed to:


This health center is a Health Center Program grantee under 42 U.S.C. 254(b), and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n)

Open Door Community Health Centers