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Kyle Terry, MD is a well‐experienced family practice physician who has owned and operated his own practice for the past 23 years in Delano, California. Delano is a small farming area located close to Bakersfield, California. He is a graduate of Utah School of Medicine in Salt Lake City, Utah. With the recent increase in our in-patient volumes, Dr. Terry has taken on the lead role of caring for the acute and swing bed patients. While this limits his time in the clinic, he is very actively caring for local residents with more complex issues that have placed them in the hospital. 
Andrew Park, MD is a board certified, Family Practice Physician. Dr. Park attended college at Loma Linda University, and received his MD from Yonsei University, College of Medicine, in Seoul South Korea. Dr. Park has practiced as a Family Practice Doctor in California since 1991. His experience includes: Family Practice, Medical Director, Urgent Care MD, and working as a Hospitalist. Dr. Park is the Medical Director for Booker Rest Home.

Dawn Meicher, ARNP spent 15 years in Intensive Care Nursing in Colorado. She received her Masters in Nursing and her American Academy Nurse Practitioner certification in 2006. Dawn joined the Waitsburg Clinic in March of 2006 as a primary health care provider.

Kim Emery, PA-C joined the staff at Columbia Family Clinic in July of 2012. Coming to us from the crowded, rainy outskirts of Seattle, Kim is excited to be a part of our community. Kim started as a laboratory medical technologist in Memphis Tennessee and later worked in Bremerton Washington. Kim attended Physician Assistant school at the University of Washington, MEDEX program, and graduated in 1998. She has spent the last 13 years working as a Family Practice PA in the University of Washington Neighborhood Clinics. She believes that good patient health is achieved through partnership with her patients.
Kortney Killgore-Smith, ARNP is a Family Nurse Practitioner that joined our staff in October of 2012. Kortney will be providing primary health care at the Waitsburg Clinic and Emergency Medical Services at Dayton General Hospital's ER. Kortney was born in White Bird, Idaho and has been working and living in the nearby Lewiston-Clarkston area as an Emergency Department, RN turned Nurse Practitioner. Kortney received her Master’s of Science in Nursing from Idaho State University and is board certified as a Family Nurse Practitioner by the American Academy of Nurse Practitioners. Kortney recently married a local farmer and relocated to the Waitsburg area.
Jennifer Burnett, ARNP graduated from Frontier Nursing University in 2019 after working as a nurse for 12 years in various care settings. Jennifer's volunteer work includes being on the board for Great Strides Cystic Fibrosis Foundation, serving in a Medical Mission to Africa, and acting as a Emergency Medical Technician (EMT.) 

Wayne Pollard, MSW, LICSW joined the staff at Columbia Family Clinic in September of 2017. He received his Master of Social Work from Florida International University in 2005. Most recently, Wayne was an Assistant Professor and Director of Field Education at Walla Walla University's School of Social Work. Prior to that, he worked as the clinical social worker at the University of Miami Cystic Fibrosis Center and owned and operated his own case management practice for 13 years. Wayne will see patients with behavioral health needs in both clinics, and he will also collaborate with community partners to improve the behavioral health coordination throughout the hospital district. Wayne is part of our team approach to providing behavioral health treatment and interventions to patients in the Primary Care setting working with and along side our family practice providers.


Melissa Czapka, ARNP is a Dayton local who began her journey with Columbia County Health Systems in 2011 as an LPN at Booker Rest Home. She later spent four years as an RN at Dayton General Hospital providing acute care and emergency services, after graduating from the nursing program at Walla Walla Community College. She went on to earn a Master’s of Science in Nursing Degree from Simmons College in Boston, Massachusetts, where she was a member of the honor society. Melissa is now a Family Nurse Practitioner with a passion for rural healthcare and medically under-served populations. She is currently providing services to the community including wound care, family practice, and palliative care services.




Michael Luce, MD has served the citizens of Columbia County and surrounding areas since 1980, with an emphasis on long-term, comprehensive, personal, primary care. Board Certified in Family Medicine, Dr. Luce received his MD from Michigan State University, College of Medicine completing his internship and residency in family practice medicine at Madigan Army Medical Center. Dr. Luce has retired from full time duties at the Health System but is still very active in the community providing Medical Director oversight as well as performing Emergency Room services at the hospital.
Dr. Neace, DO is Board certified in emergency medicine and practices in the Emergency Department at Good Samaritan Hospital in Portland. Stateside, in 1992 Dr. Neace developed and implemented plans for the Air Force Reserve to assume responsibility for helicopter medical transport in the Miami area following Hurricane Andrew. Since 1989, he has served as a space shuttle flight surgeon for the National Aeronautics and Space Administration (NASA). Dr. Neace practiced family and emergency medicine, and was the medical program director in Pacific County, and then Columbia County, Oregon, additionally he was chief of staff, at Ocean Beach Hospital in Illwaco, Wash. He served as director of emergency medicine at St. Helens Hospital (Ore.), and was medical director at Eastmoreland Hospital in Portland until it closed in 2003. He also served two years as Eastmoreland’s chief of staff. Dr. Neace earned his doctorate of osteopathic medicine and served his internship at the University of the Health Sciences in Kansas City, Mo. He is a distinguished graduate of the USAF School of Aerospace Medicine at Brooks Air Force Base, Texas. He also holds a bachelor’s degree in biology from Whitman College in Walla Walla, WA. We Welcome Dr. Neace and his wife Gwynn back home to Dayton.
Dr. Gwynneth Neace, DO is a Board Certified Pediatrician and received her American Board of Pediatrics certification in 1989 and re-certified in 1996. Dr. Neace is also a PALS (Pediatric Advanced Life Support) instructor and practices emergency medicine. She has also been an Instructor for EMTs from basic through Paramedic level since 1978.  Dr. Neace received her Bachelor degree from Washington State University and her Doctor of Osteopathic Medicine from the University of Health Sciences, Kansas City, MO. Dr. Neace most recently worked at Metropolitan Pediatrics in Portland, OR., as well as, at Columbia Medical Clinic in Ilwaco, WA. She served as the chief of staff of Ocean Beach Hospital and helped develop their specialty consultation program with Portland hospitals. Dr. Neace joins her husband Lewis Neace, DO in returning to Columbia County.
Paula Silha, MD is a co-owner of Coast to Coast Health Care and the Vice President of Quality Control.  She is a board certified Family Practitioner, who graduated medical school from the University of Washington School of Medicine.  She spent the first eleven years of her career working in emergency departments in Spokane, WA.  (Five years at Deaconess Medical Center a level II trauma center and then six years at Valley Hospital and Medical Center a level III trauma center.)  Four years ago, she decided to go back to her roots and integrate her background of Family Medicine and Emergency Medicine. Dr. Silha was excited for the chance to work in smaller communities since she spent the first eighteen years of her life living in a town of 600 in Southeastern Idaho.  She has been able to integrate her knowledge of Family Practice and experience as an Emergency Department physician to her work in several small communities over the last four years.
Sara Ragsdale, DO graduated from Kansas City College of Medicine and Biosciences and completed residency at the University of Kansas Medical Center. She is board certified in family medicine. Dr Ragsdale worked in rural Fort Scott, Kansas for 7 years and in Newport, WA for almost 8 years doing full spectrum family medicine- clinic, inpatient, obstetrics and emergency room. She joined Coast to Coast in 2013 and works in rural emergency rooms in Dayton, Odessa, Tonasket and Brewster, WA. She lives in Newport with her husband and 3 sons.
Jill Jenkins, MD served for two years in the Peace Corps as a volunteer working in Liberia West Africa, graduated from medical school at University of Washington School of Medicine, and completed her internship and residency training at Family Medicine Spokane.   Board Certified in Family Medicine, Dr. Jenkins has worked in Spokane at Deaconess Medical Center in Emergency Medicine for 10+ years and in Wound Care/Hyperbaric Medicine 10+ years.   Dr. Jenkins joined Coast to Coast (C2C) Healthcare in 2011, is a Clinical Account Manager for C2C, and currently enjoys providing Emergency and Hospitalist patient care at rural hospitals in several critical access hospitals in Washington, Idaho and Alaska.

Not Pictured:

  • Dr. Tom Underhill
  • Dr. Michael Frommlet
  • Dr. Mark Leonard
  • Dr. Brad Hunter