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12 new providers for your good health

Grande Ronde Hospital and Clinics has had great success recruiting new providers and services to Union County, particularly seven new primary care providers. They each fell in love with our community, hospital and clinics, then signed on the bottom line. Help us make these new Union County residents feel at home, and welcome them if you see them out and about.


Lauren Dillman, FNP, spent the past two years providing primary, chronic and urgent care in Colorado. She has particular interests in general cardiology, health promotion and disease prevention. When not caring for patients, Dillman enjoys hiking, weight lifting, rock climbing, camping, traveling and spending time with her family.

Emergency medicine

David Ingram, MD, spent the past two years in Temple, Texas, where he completed his residency after finishing medical school at the Medical College of Wisconsin. Dr. Ingram and his family enjoy the outdoors through hiking, skiing, photography and general recreational travel. In his free time, he also enjoys woodworking and furniture-building.

Robert Shanks, FNP-C, has approximately 20 years of nursing experience in the acute care setting, having spent time in ICU/CCU with the majority of time in an Emergency Department setting. A long-time Union County resident, Shanks enjoys the fishing and hunting this area offers. His other hobbies include spending as much time with his family, particularly his grandchildren, as he can.

Family medicine

Ellen Barlow, FNP-C, completed her master's degree at Gonzaga University. For the past several years she worked in a busy Emergency Department in Boise, Idaho. With a diverse background as a Union Hotshots wildland firefighter and EMT, Barlow looks forward to using her diverse skill set to transition into her new role as a primary care family nurse practitioner. With her husband and their two dogs, she is happy to be back in La Grande, where she was born and raised, enjoying all of the outdoor activities that Eastern Oregon has to offer.

Rafaella Betza, MD, comes from John Day, where she has been practicing the full spectrum of rural medicine in the clinic, the hospital, obstetrics floor and nursing home. While there she also worked as a medical examiner and chief of staff. She feels strongly that family medicine is a calling, and her door is open to all. Dr. Betza has been visiting her family in Elgin since she was 11 years old, always dreaming of relocating there permanently. She and her husband are delighted to have been able to fulfill their dream of buying her family's property in Elgin and raising their son in Union County.

Brooke Davis, DO, has been stationed at Joint Base Andrews in Maryland, serving as a family physician and clinic medical director for the past three years. A four-year veteran of the U.S. Air Force, she is a fourth-generation Oregonian and happy to be closer to family. Dr. Davis loves full-spectrum family medicine, especially geriatric and lifestyle medicine. She uses osteopathic manipulative treatments in her daily practice as part of a whole-person integrated approach to treating her patients. In her free time, she enjoys outdoor activities with her husband and two sons.

Tara Palmer, FNP-C, relocated from New Orleans, where she worked as a rural health primary care provider in nearby Mobile, Alabama, as well as an urgent care/pediatric nurse practitioner and clinical adjunct nursing instructor. She is a veteran of the U.S. Coast Guard. Outside of work, Palmer enjoys hiking, backpacking, swimming, boating, live music, travel, watching Louisiana State University football and spending time with her children.

Bryan Tolle, DO, is one half of a husband-and-wife physician team who moved back to Oregon from Pennsylvania. Both graduated from Pacific Northwest University College of Osteopathic Medicine, Lebanon, Oregon. Dr. Tolle looks forward to exploring the outdoor recreation this region has to offer. His professional interests include adult and pediatric full-spectrum primary care, health and wellness, preventive medicine, and surgical care. In his personal time, he enjoys exploring the outdoors with his wife, Michelle.

Michelle Tolle, DO, is dedicated to building long-lasting relationships with her patients and to professional interests centered on the continuity of care with patients of all ages in family medicine. She is happy to be back in the Pacific Northwest and looks forward to settling down and becoming part of the community.

Tracey Tracy, MD, relocated from Clackamas, Oregon. She welcomes patients of all ages and gender identities, from infants to seniors. Dr. Tracy enjoys taking care of multigenerational families and offering minor surgical procedures. She loves everything outdoors. After spending more than 20 years in the Portland metro area, she is excited to be back on the sunnier and drier side of the state.


Kim Myers, AGACNP-BC, FNP-BC, is a dual-certified nurse practitioner, joining our Hospitalist team from Florida, where she worked as a nursing instructor and simulation coordinator for the Cambridge Institute of Allied Health & Technology. Her professional interests focus on patient-centered care of the whole person, with special interests in inpatient, critical and palliative care medicine. She speaks fluent Spanish. Outside of work, Myers enjoys spending time with her husband, four children and Labrador retriever.


Steven Pinther, DO, completed his otolaryngology and facial plastic residency at Michigan State University, also working for MSU as an adjunct clinical faculty member. He is a graduate of the Pacific Northwest University of Health Sciences College of Osteopathic Medicine, Yakima, Washington. Dr. Pinther provides general ear, nose and throat (ENT) care, as well as allergy and immunotherapy services. He enjoys all aspects of ENT care but has particular interests in sinonasal and ear conditions. In his free time, he enjoys spending time with his family, particularly outdoors, while mountain biking, hunting, fishing, camping and gardening. He also enjoys woodworking and tinkering with old cars.

Connect with one of our caring PCPs. For their contact information and more, please visit and search our provider directory on the home page.

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