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      <image:caption>Your healthcare home base. We care for everything from common illnesses to chronic diseases and mental health concerns. Primary care isn’t just for when you’re sick — we’re also here to help you prevent illness and maintain your optimal health. Learn More About Our Services</image:caption>
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    <lastmod>2024-05-07</lastmod>
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    <loc>https://www.summitfamilymedicine.net/east</loc>
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    <lastmod>2024-04-24</lastmod>
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      <image:title>East Wing - FAMILY MEDICINE, INTEGRATIVE MEDICINE</image:title>
      <image:caption>Deana Dahl, FNP Deana Dahl FNP-C joined Bob Fiske's practice in August 2019. Deana is excited to be part of the Summit team and especially appreciated working with Bob who officially retired June 29, 2021. Deana has taken over Fiske's practice and is committed to providing compassionate care. She appreciates the connections that develop with patients and their families. She sees her role as a partner in optimizing one’s health, and transforming illness into an opportunity for growth. She is interested in integrated medicine, geriatrics and women's health. She is happy to be part of an independent rural family practice and excited about the opportunity to create a healthier community. Deana moved to White Salmon, WA with her husband Dave in 1989 from Seattle. She loves living in the Columbia River gorge, especially hiking, skiing and biking with her husband Dave and teenage children.</image:caption>
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    <lastmod>2026-03-07</lastmod>
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    <loc>https://www.summitfamilymedicine.net/east/forms</loc>
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    <lastmod>2022-06-08</lastmod>
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  <url>
    <loc>https://www.summitfamilymedicine.net/notice-of-privacy-practices</loc>
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    <lastmod>2024-06-04</lastmod>
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    <loc>https://www.summitfamilymedicine.net/terms-of-use-privacy-policy</loc>
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    <lastmod>2022-06-02</lastmod>
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    <loc>https://www.summitfamilymedicine.net/north</loc>
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    <lastmod>2022-11-08</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6282a4a64b95e53f669ad33d/0a3580d8-bd97-4335-900c-bdcb0d7b22f1/Starrett_Laura_centered.jpg</image:loc>
      <image:title>North Wing - FAMILY MEDICINE, WOMEN’S HEALTH, TRAVEL MEDICINE</image:title>
      <image:caption>Laura Starrett, MD Laura is a self-proclaimed tomboy and Air Force brat, having grown up all over the Rocky Mountain west. She graduated from University of Colorado Health Sciences Center School of Medicine. She completed Family Medicine residency training at Cook County Hospital in Chicago, IL, while living in a Mexican community, where she learned Spanish and how to make a killer posole stew. After working at a church-based health center in that neighborhood for 5 years, she relocated to Hood River and began working at La Clinica del Carino (now known as One Community Health). While raising two daughters and job sharing with her physician husband Rick, she has obtained additional training in international health. Beginning in 2007, she and Rick became partners at Summit Family Medicine. Laura speaks Spanish. She practices Family Medicine with special interest in Women's Health and International and Travel Medicine. She is our go-to for helping patients prepare for safe international travel. When not working in the office, or in her garden, Laura loves mountain biking, hiking, backpacking, and exploring her relationship with God. There is nothing she loves better than connecting with friends over a glass of wine to discuss politics, good books, and the art of living a good life. Schedule an appointment with Laura.</image:caption>
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      <image:title>North Wing - FAMILY MEDICINE</image:title>
      <image:caption>Richard Starrett, MD Rick is a fourth generation Oregonian, and a graduate of the Oregon Health and Sciences University. He completed Family Medicine residency training at Stanislaus County Medical Center in Modesto, California. After marrying his life partner Laura and working 7 years in central Chicago at a church based health center, he returned with his new family to Oregon to begin practice at La Clinica del Carino. In 2007, an opportunity arose to join Summit Family Medicine, where Rick and Laura have been in practice since. Rick speaks Spanish. He practices office-based Family Medicine, with an emphasis on preventative care and acute medical problems. Outside the office, Rick enjoys the opportunity to grow vegetables and fruit in our beautiful climate. You also may find him hiking or biking on local roads or trails, but probably won’t find him when he is hunting mushrooms. His wife and daughters bring great joy to him. Schedule an appointment with Rick.</image:caption>
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    <lastmod>2024-06-04</lastmod>
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    <loc>https://www.summitfamilymedicine.net/south</loc>
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    <lastmod>2025-03-26</lastmod>
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    <loc>https://www.summitfamilymedicine.net/west</loc>
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    <lastmod>2023-07-18</lastmod>
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      <image:title>West Wing--Rinella - FAMILY MEDICINE</image:title>
      <image:caption>Joe Rinella, DO Dr. Rinella grew up in Colorado and came to Oregon in 1990. He attended OSU for graduate school where he received a master’s degree in science education with a minor in oceanography. He taught science, math, PE and Bible at Santiam Christian High School and marine biology at Linn Benton Community College before deciding to go to medical school. He graduated from A.T. Still University in Kirksville, Missouri and completed a residency through the University of Kansas-Via Christi Family Medicine Program. After graduation, he practiced full-spectrum family medicine as a partner at NorthShore Medical Group in White Salmon for ten years. In 2016, Dr. Rinella transitioned to hospice care and gained additional certification as a hospice medical director. He also continued to work in the ER at Skyline Hospital and continued his work as the medical director for a non-profit organization called Remember Nhu. Remember Nhu works in 16 countries to help prevent child sex-trafficking. This role has taken him to Kenya, Tanzania, The Gambia, Guinea Bissau and Myanmar. The opportunity to join Summit Family Medicine opened up and he excitedly re-embraced the role of being a home-town family physician. Dr. Rinella and his wife (who grew up in Hood River) have 4 children. He enjoys hiking, rafting, hunting, fishing, kiteboarding, skiing, and “living out” his Christian faith through it all. Schedule an appointment with Dr. Rinella.</image:caption>
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      <image:title>West Wing--Rinella - FAMILY MEDICINE</image:title>
      <image:caption>James Brauer, MD Dr. Brauer is an Oregon native, growing up on a small ranch near Florence on the coast, where his family raised Hereford beef cattle. He attended the University of Oregon, graduating with honors in 1980 with a degree in Biology. He completed medical school at OHSU in Portland, graduating cum laude in 1984. After completing his family medicine residency in Martinez, California, Dr. Brauer and his wife Jan moved to Hood River in 1987. Dr. Brauer deeply values the relationships that he has developed with his patients over the years . . . he considers it a great privilege to provide medical care for so many wonderful people here in the beautiful Columbia River Gorge! As a family doctor, his goal is to provide excellent preventive care to all of his patients, and to help them stay as healthy and whole as possible throughout their lifespan. Dr. Brauer and his wife Jan have traveled throughout the world on many occasions, providing short-term medical assistance at various locations in Africa, Asia, and Latin America. Dr. B. loves to play basketball, windsurf, and enjoys on-line video gaming with his family and friends. Schedule an appointment with Dr. B.</image:caption>
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  <url>
    <loc>https://www.summitfamilymedicine.net/team</loc>
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    <lastmod>2024-09-21</lastmod>
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    <lastmod>2022-06-02</lastmod>
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