2025 Kittitas County Medical Directory

2025

MEDICAL HEALTH & WELLNESS

DIRECTORY A supplement to the FEBRUARY 2025

2 • MEDICAL HEALTH & WELLNESS DIRECTORY • 2025 • Daily Record

2025

MEDICAL HEALTH & WELLNESS DIRECTORY

WHAT’S INSIDE!

...4 MEDICAL DIRECTORY....................................5-9 THE DANGERS OF PROLONGED THUMB-SUCKING AND PACIFIER USE

DAILY RECORD NEWS Publisher: Rebecca Poynter Editor: Brian Kelly Sales: Amanda Bequette Contact us at 509-925-1414 401 Main St., Ellensburg, WA 98926

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THE DANGERS OF PROLONGED THUMB-SUCKING AND PACIFIER USE

BY KYLE DOSCH Seeing a baby suck on a pacifier or an infant on their thumb is one of those memories a parent will keep forever.

Most hospitals even send home a conventional rubber green pacifier with a newborn baby. And while it is normal for small children to use a pacifier or their thumb to calm down or to stop crying, prolonged usage of either can lead to oral health problems down the line.

In general, according to the American Academy of Pediatric Dentistry, children up to the age of three will not face issues from the use of pacifiers or thumb-sucking, but if they keep that habit up as they age there can be major issues with their bite, their teeth, chewing, how their mouth rests and problems with their tongue.

Thumb-sucking, finger-sucking or pacifier use should be discontinued before a child reaches three years of age. If not stopped, these habits can harm the eruption and position of the permanent teeth and affect the health of surrounding oral tissues.

There are two types of pacifiers: conventional and orthodontic. Orthodontic pacifiers are generally flat bottomed and square, which is designed to imitate the shape of the mother’s nipple. Conventional pacifiers — which are often the type sent home with newborns from the hospital — tend to be round. While either option will soothe a child, the orthodontic pacifiers are the least likely to contribute to bite issues after teething.

These habits tend to persist because of physical and emotional stimuli, including boredom, hunger, stress, hyperactivity, pleasure, sadness and various kinds of disabilities. An increase in your child’s level of stress or anxiety can lead to the continuation of the thumb-sucking habit beyond a healthy age.

There are five main issues that may arise from prolonged thumb-sucking or pacifier use: • Open bite: Upper and lower teeth don’t touch when the mouth is closed.

• Increased overjet: Upper jaw and teeth protrude excessively forward.

• Chewing: Upper and lower teeth don’t articulate correctly to provide a solid chewing

CABULANCE

24/7 NON-EMERGENCY MEDICAL TRANSPORTATION SERVICE FOR:

• Individuals who need an accessible vehicle to access medical facilities as initiated by contracted facilities.

•Services are within the city limits of Ellensburg.

•All rides are fare free.

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M surface.

• Cross bite: Upper back teeth sit inside the bottom teeth and appear tilted inward toward your tongue, instead of lining up straight and fitting into each other.

• Tongue thrust compensation: An infant generally pushes their tongue out when swallowing, while children and adults rest the tongue against the roof of their mouth.

All five of these issues can cause too much pressure being placed on the teeth and jaw, leading to speech impediments, issues with facial development and gum problems – they can also eventually require surgery.

Remember, a child utilizes their thumb or a pacifier for a reason, so offering encouragement and helping them come up with other solutions to overcome boredom or anxiety is the way to go.

Kyle Dosch, DDS, is Delta Dental of Washington’s dental director.

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MEDICAL DIRECTORY ACUPUNCTURE MIDDLE PATH ACUPUNCTURE Ellensburg - 502 N. Anderson St. Cle Elum - 402 1st St., Suite 104 509-925-1530 ADDICTION & REHABILITATION CENTERS MERIT RESOURCE SERVICES 200 E. 3rd Ave. Ellensburg, WA 98926 509-925-9821 BARTH CLINIC 2141 Dolarway Rd., Unit 1 Ellensburg, WA 98926 509-925-7867 SUNDOWN M RANCH | DRUG & ALCOHOL TREATMENT CENTER 2280 State Route 821 Yakima, WA 98901 800-326-7444 IDEAL OPTION 602 N 39th Ave STE 200 Yakima, WA 98902 (877) 522-1275 ASSISTED LIVING, RETIREMENT AND REHABILITATION CENTERS, RETIREMENT LIFE, ADULT COMMUNITIES & CARE HOMES CASCADE MANOR SENIOR APARTMENTS 101 Pearl Street Ellensburg, WA 98926 509-925-3061 GENTEEL ESTABLISHMENT 781 Kaynor Road Ellensburg, WA 98926 509-968-3469 HUNTINGTON COURT SENIOR APARTMENTS 306 E. Manitoba Avenue Ellensburg, WA 98926 509-925-5178 KITTITAS INTERACTIVE MANAGEMENT 305 N. Anderson St. Ellensburg, WA 98926 509-968-4432 AVISTA SENIOR LIVING 1008 E. Mountain View Ave. Ellensburg, WA 98926 509-260-3049 PACIFICA SENIOR LIVING 818 E. Mountain View Avenue Ellensburg, WA 98926 509-941-2297

PRESTIGE POST-ACUTE AND REHAB CENTER 1050 E. Mountain View Ellensburg, WA 98926 509-925-4171 HEARTHSTONE SENIOR LIVING 802 E. Mountain View Avenue Ellensburg, WA 98926 509-925-3099 Hearthstone Senior Living offers independent and assisted living with wellness programming and personalized care in a supportive community.

ROSEWOOD ADULT LIVING COLDWELL BANKER CENTRAL 508 North Main Street Ellensburg, WA 98926 509-859-3474 GRACE MANOR ADULT FAMILY HOME 906 Seattle Ave Ellensburg, WA 98926 206-683-0821 RUTH’S HOME – NOVA HOUSE 301 E 3rd St , Cle Elum, WA 98922 (509) 304-9618 RUTH’S HOME – MALIBU HOUSE 401 Main St South Cle Elum, WA 98943 (509) 304-9618 RUTH’S HOME – BELAIR HOUSE 304 E 3rd St Cle Elum, WA 98922 (509) 304-9618 AUDIOLOGY, HEARING CENTERS, HEARING AIDS & ACCESSORIES INLAND HEARING AIDS INC. 207 W. Tacoma Avenue Ellensburg, WA 98926 509-962-8488 NORTHWEST AUDIOLOGY 601 N. Main, Suite #1 Ellensburg, WA 98926 509-962-9575 VALLEY HEARING ASSOCIATES 2205 W.Dolarway Rd. Suite 1 Ellensburg WA 98926 Ph # 509-925-2211 Fax # 509-925-2216 www.valleyhearingassociates.com Scott Wise, H.I.S. & Business Owner Ashley Poulsen, Business Owner MIRACLE-EAR HEARING AID CENTER 1011 N Alder St Ellensburg, WA 98926 (509) 903-0490

THOMPSON AUDIOLOGY 1111 N 35th Ave Yakima, WA 98902 (509) 248-0933 BIRTH CONTROL, SEXUAL HEALTH, AND PREGNANCY CENTERS CARE NET PREGNANCY CENTER OF KITTITAS COUNTY 111 E. 4th Avenue Ellensburg, WA 98926 509-925-2273 PLANNED PARENTHOOD – ELLENSBURG HEALTH CENTER 613 N. Pine Street Ellensburg, WA 98926 866-904-7721 CANCER TREATMENT & INFORMATION CENTERS NORTH STAR LODGE 808 N. 39th Ave. Yakima, WA 98902 509-574-3400 CARDIOVASCULAR DISEASES SPECIALISTS MICHELLE SMEBACK, ARNP KVH VASCULAR SURGERY Michael Zammit, MD KVH Vascular Surgery Bobbi L. Hoppe, MD, FACC, FHRS KVH Cardiology MEMORIAL CARDIOVASCULAR IMAGING CENTER 406 S. 30th Ave. Yakima, WA 98902 509-248-7715 CHIROPRACTORS DAVID BRIDGEMAN, M DC 120 E. 1st Street Cle Elum, WA 98922 509-674-4448 CENTRAL WASHINGTON CHIROPRACTIC 801 S. Ruby Street, Suite 1 Ellensburg, WA 98926 509-962-8008 EAST CASCADE CHIROPRACTIC 202 W. 1st St., Suite 1 Cle Elum, WA 98922 ELLENSBURG CHIROPRACTIC PS 109 S. Water Street, Suite 2 Ellensburg, WA 98926 509-962-2225

ELLENSBURG INTEGRATED MEDICINE 304 S. Water St., Suite 103 Ellensburg, WA 98926 509-925-7246 ALPINE CHIROPRACTIC AND DECOMPRESSIONS 1011 N. Alder St. Ellensburg, WA 98926 509-962-2570 COUNSELORS & MENTAL HEALTH CENTRAL WASHINGTON COMPREHENSIVE MENTAL HEALTH 220 W. 4th Avenue Ellensburg, WA 98926 509-925-9861 402 S 4th Avenue Yakima, WA 98907 509-575-4084 CHRISTIAN CARE SERVICE 1206 N. Dolarway Rd., Suite 210 Ellensburg, WA 98926 509-933-2273 CREATYOGA 103 E 3rd Ave, Ellensburg, WA 98926 509-899-0010 CROSSROADS COUNSELING 603 N. Main Street, Suite 1 Ellensburg, WA 98926 509-962-4300 EASTSIDE VOCATIONAL SERVICES 902 N. Enterprise Way Ellensburg, WA 98926 509-962-1950 JOHNSON, PHILIP 617 S. 48th Avenue Yakima, WA 509-966-2794 KITTITAS VALLEY COUNSELING CENTER LLC 413 N. Main Street, Suite D Ellensburg, WA 98926 509-925-4400 MOSAIC COUNSELING SERVICES 112 W. Railroad Cle Elum, WA 98922 509-674-5144 COMPREHENSIVE ON PEARL 707 N. Pearl, Suite E Ellensburg, WA 98926 509-925-9861 JILL SCHWARZ 603 N. Main, Suite 1 Ellensburg, WA 98926 509-962-6110

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STILLWATER COUNSELING SERVICE 1206 N. Dolarway Road, Suite 203 Ellensburg, WA 98926 509-925-1840 ANDREA UTZINGER MS LMHC AND THOMAS LOGAN MA LMHC COUNSELING SERVICES 103 E. 4th Avenue, Suite 200 Ellensburg, WA 98926 509-929-1984 MARCIA RORTY, PHD 103 E 4th Ave, Suite 201 Ellensburg, WA 98926 (509) 607-6440 KIMBERLY FINGER LICSW 109 E. Third Ave., Suite 5 Ellensburg, WA (509) 559-5781 DENTAL AVANTA DENTAL 306. S Main Street #1 Ellensburg WA 98926 509-505-5039 BIG COUNTRY FAMILY DENTAL 307 W. 1st Avenue, Suite 1 Ellensburg, WA 98926 509-962-6172 CENTRAL WASHINGTON ORAL & FACIAL 109 N Pine St Ellensburg, WA 98926 (509) 663-0068 CENTRAL WASHINGTON PEDIATRIC DENTISTRY 109 N. Pine Street Ellensburg, WA 98926 509-933-2973 CLE ELUM DENTAL CLINIC 206 W. 1st Street Cle Elum, WA 98922 509-674-2307 CREEKSIDE DENTAL 2601 Triple L Loop Ellensburg, WA 98926 509-933-4800 COMMUNITY HEALTH OF CENTRAL WASHINGTON 521 E. Mountain View Avenue Ellensburg, WA 98926 509-933-2400 Hours: Mon- Fri 7:00am – 5:00pm Saturday 8:00am -4:00pm Services: Comprehensive dental care for the entire family Preventative and restorative dentistry Same Day Emergency Appointments available SWIFTWATER DENTAL CARE 101 Harris Ave. Cle Elum, WA 98922 509-674-5153 DR. MARK SIKS, DDS 215 E. 4th Avenue Ellensburg, WA 98926 509-925-3200

MOUNTAIN VIEW DENTAL 708 E. Mountain View Avenue Ellensburg, WA 98926 509-962-2755 ellensburgdentist.com Mountain View Dental is a long-standing Ellensburg dental office offering quality services including dental implants and same day crowns.

PARKER ORTHODONTICS 109 N. Pine Street Ellensburg, WA 98926 509-962-6902 PEARL CARE DENTAL 2401 W. Dolarway Road Ellensburg, WA 98926 509-925-6553 WILLIAM PHILLIP, DDS, PS 201 E. Mountain View Avenue Ellensburg, WA 98926 509 962-8299 SULLIVAN FAMILY DENTAL 305 E. 2nd Avenue Ellensburg, WA 98926 509-962-9020 SUNRISE DENTAL 601. N Main Street Suite 2 Ellensburg WA 98926 509.933.3300 DIALYSIS DAVITA ELLENSBURG DIALYSIS CENTER 2101 W. Dolarway Road, Unit 1 Ellensburg, WA 98926 (833) 352-2148 DIETITIAN/NUTRITION CARLI HILL, PLLC 200 E 4th Ave Ellensburg, WA 98926 (509) 426-7008 PEACE & NUTRITION 413 N Main St Suite A Ellensburg, WA 98926 (509) 607-8972 NESTED NUTRITION 422 N Pine St, Ellensburg, WA 98926 Hello@Nested-Nutrition.com ELECTROLYSIS ELLENSBURG ELECTROLYSIS 171 Brown Road Ellensburg, WA 98926 509-899-1166 FUNERAL/CREMATORIUM SERVICES BROOKSIDE FUNERAL HOME & CREMATORY 500 E Mountain View Ave Ellensburg, WA 98926 509-925-2902

JOHNSTON & WILLIAMS FUNERAL HOME & CREMATORY 301 E 3rd Ave Ellensburg, WA 98926 509-925-2902 201 N Harris St Cle Elum, WA 98922 509-674-4445 GENERAL PRACTICE COMMUNITY HEALTH OF CENTRAL WASHINGTON 521 E. Mountain View Avenue Ellensburg, WA 98926 509-962-1414 COMPASSDIRECT HEALTHCARE 100 W 3rd Ave, Ellensburg, WA 98926 Phone: 509-388-2345 KVH FAMILY MEDICINE – CLE ELUM Hours: 8 a.m. to 5 p.m., Monday - Friday Address: 201 Alpha Way, Cle Elum Phone: 509-674-5331 or 509-9625060 www.kvhealthcare.org Sarah Heniges, PA-C Alisa Peterson, MSW, LICSW Joe Smith, DPT John Asriel, MD Nate Everett, DPT Rob Merkel, PA-C Chelsea Newman, PA-C Auren O’Connell, DNP Andrew Thomas, MD KVH FAMILY MEDICINE - ELLENSBURG Located in KVH Medical Arts Center, 100 E Jackson Ave Suite 301 3rd Floor, Ellensburg, WA 98926 Phone: 509-933-8777 www.kvhealthcare.org Ann Parr, PA-C José Diaz, PA-C William Phillips, ARNP Mark Larson, MD John Merrill-Steskal, MD Annaliese Stone, DO Carissa Dahl, ARNP Julia Riel, PA-C Jie Casey, DO Vanessa Wright, MD GENERAL SURGERY KVH GENERAL SURGERY Hours: 8 a.m. to 5 p.m., Monday – Friday Address: 611 S Chestnut St, Suite A, Ellensburg Phone: 509-962-7390 www.kvhealthcare.org Timothy O’Brien, MD Tom Penoyar, MD Christopher Petty, MD Lauren Wilkholm-Meyer, MD HOME HEALTH SERVICES HOME CARE SERVICES 1206 W. Dolarway Road, Suite 217 Ellensburg, WA 98926 866-291-3017 509-962-6242

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KVH HOME HEALTH 1506 E. Radio Road Ellensburg, WA 98926 Phone: 509-962-7438 www.kvhealthcare.org LISA’S TENDER CARE 11852 Hwy 10 Ellensburg, WA 98926 509-899-1196 HOSPICE KVH HOSPICE 309 E Mountain View Ave, Ellensburg, WA 98926 509-962-7438 www.kvhealthcare.org HEARTS & HANDS OF KITTITAS COUNTY 302 E 2nd Ave Ellensburg, WA 98926 (509) 968-5117 HOSPITALS KVH HOSPITAL Hours: Open 24 hours Address: 603 S Chestnut St, Ellensburg Phone: 509-962-9841 www.kvhealthcare.org Hospital Services Cardiopulmonary Services Critical Care Emergency Services Family Birthing Place Imaging Services Laboratory Services Surgical Services – Inpatient and Outpatient Urgent Care – Cle Elum Community Education Birthing Classes 4th Trimester Resource Center Cancer Support Diabetes Education and Support KVH Primary Care and Specialty Centers: KVH Family Medicine – Cle Elum KVH Family Medicine – Ellensburg KVH Home-Based Primary Care KVH Cardiology KVH ENT & Allergy KVH General Surgery KVH Home Health KVH Hospice KVH Internal & Adult Medicine KVH Neurology KVH Occupational Therapy KVH Orthopedics KVH Pediatrics KVH Pharmacy KVH Physical Therapy KVH Rapid Access KVH Speech Therapy KVH Urgent Care – Cle Elum KVH Vascular Surgery KVH Women’s Health KVH Workplace Health Wound Care KVH Specialty Services – Anticoagulation Clinic, Addiction Services

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HOSPITAL EQUIPMENT AND SALES KITTITAS MEDICAL SUPPLY 709 S. Main St. Ellensburg, WA 98926 509-929-3000 INSURANCE – LIFE, MEDICAL, HOSPITALIZATION, LONG TERM CARE & SURGICAL AMERICAN FAMILY INSURANCE 315 N Sprague St, Ellensburg, WA 98926 509-933-2200 COUNTRY FINANCIAL Devin Shannon 302 N. Pearl Street Ellensburg, WA 98926 509-933-3000 FARMERS INSURANCE SHAUN MONTGOMERY 300 N. Main, Ellensburg, WA 98926 509-925-9633 Cle Elum 98922 509-674-2408 LAEL INSURANCE AND FINANCIAL SOLUTIONS CUSTOM MEDICAL PLANS 2301 W. Dolarway, Ste. 5 Ellensburg, WA 98926 509-962-8800 STATE FARM INSURANCE AGENCY INC. 400 N. Pearl Ellensburg, WA 98926 509-925-1483 415 E. 1St Cle Elum, WA 98922 509-674-5107 VIRGINIA GAYKEN INSURANCE 205 S. Main Ellensburg, WA 98926 509-925-1811 INTERNAL MEDICINE KVH INTERNAL MEDICINE Hours: 8 a.m. to 5 p.m., Monday - Friday Address: 700 E Manitoba Ave, Suite 101, Ellensburg Phone: 509-925-6100 www.kvhealthcare.org Jamin Feng, MD David Jackson, MD Anita Schiltz, ARNP Andy Schock, PA-C MASSAGE ALENTE SPA AND SALON 310 N. Pine Street Ellensburg, WA 98926 509-925-2500 AWAKENING BODY MIND SPIRIT 814 E. 5th Avenue Ellensburg, WA 98926 509-962-9656

EAST CASCADE CHIROPRACTIC 202 W. 1st St., Suite 1 Cle Elum, WA 509-674-5057 ELLENSBURG CHIROPRACTIC 109 S. Water, Suite 2 Ellensburg, WA 98926 509-962-2225 GAIA CENTER 109 E 3rd Ave., Suite 4 Ellensburg, WA 98926 509-929-2822 JOANN’S THERAPEUTIC MASSAGE 708 S. Tamarack Ellensburg, WA 98926 509-962-4968 JANE MCCLENNEY - MOVE LIGHTLY 109 E. 3rd, Suite 1 Ellensburg, WA 98926 509-929-3838 MIDDLE PATH ACUPUNCTURE 502 N. Anderson St. Ellensburg, WA 98926 509-925-1530 SCENTS OF TOUCH MASSAGE 305 N. Anderson St Ellensburg, WA 98926 509-899-3136 SIMPLE INDULGENCE WELLNESS 101 West Montana Ave, Suite A Roslyn, WA 98941 509.850.9710 Nicolet Armitstead, LMT Simplifying wellness - offering bodywork, craniosacral therapy and skin care. simpleindulgencewellness.com SHIATSU THERAPY 105 W. 5th, Ste 107 Ellensburg, WA 98926 509-925-4903 TWO HANDS AND HEART 509-929-2639 SUN RIVER MASSAGE THERAPY 301 W 2nd Ave, Ellensburg, WA (509) 859-6047 MEDICAL AESTHETICS MARIPOSA MEDICAL AESTHETICS 309 N Pearl St, Ellensburg, WA 98926 (509) 306-8537 SKIN UNFILTERED MEDICAL AESTHETICS 1206 N Dolarway RD • Unit 210B Ellensburg, WA 98926 (509) 406-7208 SIMPLE INDULGENCE WELLNESS 101 West Montana Ave, Suite A Roslyn, WA 98941 509-850-9710 WINNING FOUNDATIONS CLINICAL SKINCARE 401 W 1st St. Cle Elum, WA 98922 (509) 674-6960

MEDICAL SUPPLIES KITTITAS MEDICAL SUPPLY 709 S. Main St. Ellensburg WA 98926 509.929.3000 MEDICAL TRANSPORTATION (NON-EMERGENCY) CABULANCE 509-925-8680 Ellensburg Central Transit provides farefree, 24-7 accessible non-emergency medical transportation to contracted facilities.

HOPESOURCE 509-933-2287 MENTAL HEALTH SERVICES CENTRAL WASHINGTON COMPREHENSIVE MENTAL HEALTH 707 N. Pearl Street Ellensburg, WA 98926 509-925-9861 HORIZONS CLUB 220 W. 4th Avenue Ellensburg, WA 98926 509-925-1372 VALLEY PSYCHOLOGICAL SERVICES 2109 W Dolarway Rd, Ellensburg, WA 98926 (509) 968-5086 NATUROPATHIC SWIFTWATER NATUROPATH 116 N. Oakes Ave. Ste 4 Cle Elum, WA 98922 413 N. Main St Unit H Ellenburg, WA 98121 509-240-8676 NEUROLOGISTS NORTHWEST NEUROSCIENCES 3911 Castlevale Rd. Yakima, WA 98902 509-834-7050 KVH NEUROLOGY 700 E Manitoba Ave Suite 106, Ellensburg, WA 98926 (509) 933-8919 Website/email: kvhealthcare.org OBGYN KVH WOMEN’S HEALTH Hours: 8 a.m. to 5 p.m., Monday – Friday 100 E. Jackson Avenue, Unit 200 Phone: 509-933-8720 www.kvhealthcare.org womenshealth@kvhealthcare.org Teresa Beckett, ARNP, PA-C Jie Casey, DO Holly Dawson, DO Maribel Serrano, MD Emilie Toretta, ARNP, CNM

OCCUPATIONAL MEDICINE KVH WORKPLACE HEALTH Hours: Mon. – Fri. 8am to 7pm, Address: 702 E Mountain View Ave, Suite 2 509-933-8830 Ryan Ahr, PA-C Robert Meyer, MD OCCUPATIONAL THERAPY KVH OCCUPATIONAL THERAPY 309 E. Mountain View Ave. Ellensburg, WA 98926 509-933-8677 www.kvhealthcare.org MOUNTAIN VIEW OCCUPATIONAL THERAPY 700 E Mountain View Ave Suite 502 Ellensburg, WA 98926 509-934-2723 OPHTHALMOLOGISTS, OPTOMETRISTS & OPTICAL GOODS FAMILY EYE CLINIC 707 N. Pearl Street, Suite D Ellensburg, WA 98926 509-925-9873 112 E. 2nd St. Cle Elum, WA 98922 509-674-4313 PEARL STREET OPTICAL 317 N. Pearl St. Ellensburg, WA 98926 509-899-9333 PACIFIC NORTHWEST RETINA 2205 W. Dolarway Road, Unit 2 Ellensburg, WA 98926 206-215-3850 VALLEY VISION ASSOCIATES 2201 W. Dolarway Road Ellensburg, WA 98926 509-925-1000 ORTHODONTISTS PARKER ORTHODONTICS 109 N. Pine Street Ellensburg, WA 98926 (509) 962-6902 CHRISTOPHER ORTHODONTICS 1206 N Dolarway Rd, Suite 101 Ellensburg WA, 98926 (509) 508-5346 ORTHOPEDIC SHOES, APPLIANCES & PROSTHETIC KITTITAS ORTHOTICS & PROSTHETICS 1206 N. Dolarway, Suite 110 Ellensburg, WA 98926 509-925-7700

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ORTHOPEDICS, ORTHOPEDIC SURGERY, BONE & JOINT KVH ORTHOPEDICS Hours: 8 a.m. to 5 p.m., Monday – Friday Address: 611 S Chestnut St, Suite D, Ellensburg Phone: 509-933-8700 Website/email: www.kvhealthcare.org Ada Cheung, MD Dena Mahre, PA-C Thomas Mirich, MD James Repsher, PA-C Daniel Hiersche, M.D. ORTHOPEDICS AND SPORTS MEDICINE 700 E. Manitoba Avenue, Suite 106 Ellensburg, WA 98926 509-962-6727 ORTHOPEDICS NORTHWEST PLLC 111 South 11th Ave Suite 320 Yakima, WA 98902 (509) 454-8888 100 E Jackson Ave, STE #201, Ellensburg, WA 98926 (509) 454-8888 PEDIATRICS COMMUNITY HEALTH OF CENTRAL WASHINGTON 521 E. Mountain View Avenue Ellensburg, WA 98926 509-962-1414

KVH PEDIATRICS 100 E. Jackson Avenue, Suite 101 Ellensburg, WA 98926 509-962-KIDS (5437) Fax: 509-962-5438 Hours: Mon-Fri, 8:30 am - 5 pm Elise J. Herman, MD Paul DeBusschere, MD, FAAP Christine Ward, ARNP Meghan Young, DO PERSONAL TRAINERS/FITNESS ANYTIME FITNESS 2305 W. Dolarway Road Ellensburg, WA 98926 509-925-5445 Experienced and knowledgeable Personal Trainers Red Light Therapy and Tanning 24/7 access to over 5,000 clubs Clean, Comfortable, and friendly CLE ELUM’S 24 HOUR GYM 113 Harris Avenue Cle Elum, WA 98922 509-674-5696 EMPOWERED FITNESS 202 N. Pine St. Ellensburg, WA 98926 509-925-1810

THE GYM 427 N. Main Street Ellensburg, WA 98926 509-962-6200 JAZZERCISE 2060 Vantage Hwy. Ellensburg, WA 98926 509-933-2348 ELLENSBURG CROSSFIT 301 W 2nd Ave, Ellensburg, WA 98926 (509) 330-5544 GARAGE STUDIO FITNESS LLC 413 N Pine St, Ellensburg, WA 98926 (509) 213-0085 PHARMACIES FRED MEYER PHARMACY 201 S. Water Ellensburg, WA 98926 509-962-0533 KVH PHARMACY 603 S. Chestnut St (within KVH Hospital) Ellensburg, WA 98926 (509) 925-8484 Open 24 hours a day, seven days a week RITE AID PHARMACIES 700 S. Main Ellensburg, WA 98926 509-925-4232

509.925.2211 valleyhearingassociates.com

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SAFEWAY PHARMACY 400 N. Ruby Ellensburg, WA 98926 509-962-5096 SUPER ONE FOODS 200 E. Mountain View Ellensburg, WA 98926 509-962-7770 WHOLE HEALTH PHARMACY 800 S Pearl Street Suite 1 Ellensburg WA 98926 509-925-6800

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PHYSICAL THERAPY ARGONAUT PEAK PHYSICAL THERAPY 722 E. University Way Ellensburg, WA 98926 509-962-1553 CANYON VIEW PHYSICAL THERAPY 100 E Jackson Ave, Ste 201 Ellensburg, WA 98926 Phone: (509)925-6220 Fax: (509)925-6221 Canyonviewpt.com Our goal is to help you get back to the things you love!

Don’t let pain keep you from life.

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Scott Wise, H.I.S. & Business Owner Ashley Poulsen, Business Owner Eden Collins, Office Manager

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KVH PHYSICAL THERAPY 301 E Mountain View Ave, Ellensburg 509-962-7386 Cle Elum 201 Alpha Way, Cle Elum 509-674-5331 www.kvhealthcare.org NORTHWEST PHYSICAL THERAPY 105 N. Pennsylvania Ave. Entrance on E. Railroad Ave. Cle Elum, WA 98922 509-674-0908 PODIATRISTS CASCADE FOOT & ANKLE 611 S, Chestnut Ave. Suite C Ellensburg, WA 509-925-4633 2460 Racquet Lane Yakima, WA 509-225-3668 PUBLIC HEALTH KITTITAS COUNTY HEALTH NETWORK 107 E Mountain View Ave Ellensburg, WA 98926 509-925-5246 healthierkittitas.org KCHN advocates for whole-person health through community collaborations and connections to resources for a healthier Kittitas County for all.

KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT 507 N Nanum Street Suite 102 Ellensburg, WA 98926 509-962-7515 VASCULAR SURGERY CENTRAL VALLEY VASCULAR CENTER 1005 W. Walnut St., Suite 120 Yakima, WA 98902 509-454-6545 SENIOR CITIZEN SERVICE ORGANIZATIONS AGING & LONG-TERM CARESOUTHEAST WASHINGTON 206 W. 1st Avenue Ellensburg, WA 98926 509-925-8765 ELLENSBURG ADULT ACTIVITY CENTER 506 S. Pine Ellensburg, WA 98926 509-962-7242 LIVING WELL - LISE MCGOWAN Free Senior Home Referral Service 509-607-9980 SENIOR NUTRITION PROGRAM 506 S. Pine St., Ellensburg, WA 98926 509-933-3333

SPEECH PATHOLOGISTS KVH SPEECH THERAPY 309 E. Mountain View Ave. Ellensburg, WA 98926 509-933-8677 SUMMIT SPEECH THERAPY 700 E Mountain View Ave Suite 502 Ellensburg, WA 98926 509-731-4018 URGENT CARE KITTITAS VALLEY URGENT CARE Monday - Friday, 8am - 7:30pm Saturday & Sunday 9am - 5:30pm Holidays 10am - 6pm 702 East Mountain View Ave, Ste. 1 Ellensburg, WA 98926 Phone: 509-968-KARE Fax: 509-201-1760 Kathy Keebaugh, MD Wendy Owens, MD Troy Bowers, P-AC Cassie Gavin, ARNP Chris Bently, PA-C Mark Babin, PA-C KVH Urgent Care – Cle Elum Hours: 10 a.m. to 10 p.m. daily Address: 214 W 1st Street, Cle Elum, 98922 Phone: 509-674-6944 Website/email: www.kvhealthcare.org Resources Available at Facility: After hours medical care for patients with minor illnesses or injuries. Lab and x-ray on-site. No appointment needed.

UROLOGIST YAKIMA UROLOGY ASSOCIATES Adult & Pediatric Urology Clinic 2500 Racquet Lane #100 Yakima, WA 98902 509-249-3900 Surgery: 509-249-3910 VITAMINS & FOOD SUPPLEMENTS BETTER LIFE NATURAL FOODS 416 N Pine St Ellensburg, WA 98926 509-925-2505 YOGA WILD ROSE YOGA 203 N. Harris Ave. Cle Elum, 98922 425.280.3275

CARE YOU CAN TRUST. Ellensburg Health Center

613 N. Pine Street, Ellensburg, WA • ppgwni.org Daily Record • 2025 • MEDICAL HEALTH & WELLNESS DIRECTORY • 9

MAYO CLINIC Q AND A: CHOLESTEROL — KNOW YOUR NUMBERS REGIS FERNANDES | Mayo Clinic News Network DEAR MAYO CLINIC: I am in my 30s and overweight, but I thought I was too young to worry about cholesterol. I just learned my cholesterol is high. I know diet and exercise are important. Do I need medication?

ANSWER: Cholesterol is a type of fat in our blood. Our bodies need a small amount of cholesterol to build the structure of cell membranes, make certain hormones and help with metabolism, such as producing vitamin D. The catch: We don’t need too much cholesterol.

Atherosclerosis, also known as narrowing of the arteries, happens when cholesterol builds up and blocks blood flow.

This buildup is called plaque, which can clog arteries and can burst, leading to a blood clot. Atherosclerosis can cause heart problems such as chest pain (angina) or heart attack.

It also can lead to problems in the brain, including transient ischemic attack, stroke, peripheral artery disease in the legs or arms, and even kidney failure.

Cholesterol and triglycerides are types of lipids. They travel in our blood by attaching to proteins. Adults 20 and older should ask their healthcare team about their lipid profile and how to interpret the numbers.

• Low-density lipoprotein (LDL) cholesterol: We call LDL «bad» cholesterol. Below 100 milligrams per deciliter (mg/dl) is optimal for healthy people in the absence of coronary artery disease. If you have heart disease, your LDL should be below 70 mg/dl. Treatment decisions to reach appropriate levels need to be based on personal risk factors.

• High-density lipoprotein (HDL) cholesterol: We call HDL «good» cholesterol. It absorbs cholesterol in the blood and brings it to the liver, which flushes it from the body. For females, it should be above 50 mg/dl. For males, it should be

above 40 mg/dl.

• Triglycerides: Triglycerides are a type of fat we use for energy. If you have too high of a triglycerides level, it can cause heart disease. Less than 150 mg/dl is optimal.

• Total cholesterol: This is the sum of LDL and HDL cholesterol plus 20% of triglyceride levels. A total cholesterol level below 200 mg/dl is desirable.

Some people who are overweight may get heart disease not because their LDL is high but, rather, because their HDL is low and their triglycerides are high. That relationship can cause heart disease as much or even more than just high LDL cholesterol. These lipid abnormalities are significant for young people in their 30s or 40s who are overweight. Their triglyceride levels increase, and their HDL lowers. They’re becoming prediabetic. Their LDL is staying the same, but they’re still heading to heart disease.

Treating high cholesterol depends on individual risk. The higher the risk — for example, with someone who already had a heart attack — a higher percent of reduction is needed. Medication to lower cholesterol can reduce LDL by about 60% to 65%. Lifestyle changes can reduce LDL by 10% to 15%.

Several medications can help manage lipids. Discuss options with your healthcare team.

The body’s ability to handle cholesterol is genetically determined. Genetic disorders that raise cholesterol levels are common. Familial hypercholesterolemia usually is caused by a genetic mutation preventing the body from clearing cholesterol. People with the condition are more likely to require medication to reduce their cholesterol levels.

For people with genetic disorders that expose them to elevated cholesterol since birth, heart disease can happen at

a younger age. So we start treating their high cholesterol with medication at a young age.

Beyond medication, lifestyle modifications help manage lipids: • Limit meat and dairy intake; they have saturated fat, which raises LDL cholesterol.

• Consume more fish, soluble fiber, fruit and vegetables.

• Avoid diets high in carbohydrates, particularly refined carbs like sugar and white flour. They raise the blood sugar level quickly, raising triglycerides. Reducing simple refined carbohydrates helps lower triglycerides and weight because you store less fat.

• Control your weight. It lowers your triglycerides and improves your HDL levels.

• Exercise about 150 minutes of aerobic activity a week at a moderate intensity. Moderate intensity means you must breathe through your mouth. If you’re breathing through your nose, that is low intensity. Exercise prevents cholesterol from building up, but it doesn’t change LDL concentration levels. You must burn about 2,000 calories a week to lower LDL concentration. However, exercise helps lower triglyceride levels and maintain weight loss.

• Do strength training at least twice a week. It helps your cardiovascular and muscular systems. Not everything we do to prevent heart disease is about cholesterol.

The National Heart, Lung and Blood Institute recommends people get their first cholesterol screening between ages 9 and 11, and repeat it every five years. For men 45 to 65 and women 55 to 65, cholesterol screenings should occur every one to two years. Over 65? Test annually. More frequent testing may be needed for people who have or are at risk for coronary artery disease.

Dr. Regis Fernandes, Cardiovascular Medicine, Mayo Clinic, Phoenix

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