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We believe that the best primary care medicine is both personal and affordable, and that’s what we offer. As a Direct Primary Care provider, we focus on you and your health without the unnecessary intrusion of insurance companies. Primary care is all we do, so let us restore your faith in health care. Experience a patient relationship based on trust and respect; the type of relationship every patient deserves. Because we offer unlimited e-mail access to the providers, we can take patients from just about anywhere, we have patients from all over the USA.

Direct Primary Care

About Pacific Northwest Wellness Center, PLLC

Our Providers & Staff

Karl Lambert


Karl Lambert, ARNP has been in practice for over 25 years providing a very special type of care. He is a member of the American Academy of Nurse Practitioners since 1997 and graduated from the University of Kentucky. His uniquely compassionate approach coupled with innovative ideas such as the Direct Patient Care Model have helped transform healthcare. Karl specializes in primary care as well as bio-identical hormone replacement therapy (BHRT). Karl loves practicing in the direct primary care model where he can spend time with patients and develop relationships with them. This allows him to deliver a personalized approach to each individual patient and have the opportunity to help them live healthier and more vibrant lives. In his spare time, he enjoys working out, traveling, and spending time with his family.

Kylie Garing


Kylie is a board-certified Family Nurse Practitioner with a Masters of Nursing from Spring Arbor University. While attending graduate school she worked full-time in ICU. She completed her Bachelor of Biology at Northland College in Wisconsin where she met her loving husband. She chose nursing because you are given an opportunity to make a positive imprint on others’ lives. Over her nursing career she has learned that she is drawn to working in areas that allow for relationship building, problem solving, and humor which is one of many reasons PNWC is a perfect fit. She enjoys spending time with her family and friends as well as boating, snowmobiling, reading, completing puzzles, and running.

Jennifer Carlson

Adult Nurse Practitioner & Hormone Specialist 

(Advanced BHRT Certified) Jennifer Carlson received her Bachelor’s in Nursing degree from Montana State University in 2000 and worked for 17 years as an emergency room nurse. She received her Doctorate in Nursing Practice from Montana State University in May 2018. She is licensed in Washington State, Idaho, and Montana. Jennifer’s personal goal for each and every one of her patients is to improve their quality of life by working individually with each patient to develop a customized plan to treat the disease, not just the symptoms. By focusing on wellness and disease prevention, she often utilizes hormone replacement therapy, diet, exercise and supplements when able to help treat, and often reverse, common disease states such as high blood pressure, chronic fatigue, type II diabetes, osteoporosis, and even depression. She believes in providing patients with the knowledge and tools to help feel better, be healthier, and live better. Jennifer’s mission is to offer her patients unparalleled healthcare and guidance, so they can achieve and maintain optimal physical as well as emotional health and wellness.

Andrea Mutch

Registered Nurse

Andrea has been in the healthcare industry for 10 years. During that time, she worked as a registered nurse for Colonial Vista in multiple roles. She loves that nursing gives her the opportunity to support others with their healthcare goals. She looks forward to supporting you with yours. When she’s not taking care of patients, she’s active with her church. She volunteers as a group leader for her church’s youth group. She had the opportunity to assist as the nurse for the youth groups mission trip to Roatan Honduras 2023.She has been happily married for eighteen years and a mother of two wonderful children.

Noemi Mercado-Flores

Chief Operations Officer

Noemi has worked at PNWC for 12 years. She has 20 years of experience in a health care setting, including community clinics and now direct primary care. Noemi is experienced in administrative management, strategic planning, business development, and operations. She brings those years of diverse experience and passion to the PNWC team. In her spare time, Noemi enjoys traveling with her husband and making memories. Her goal is to keep adding stamps to her passport.

Diana Nikishin

Quality Assurance Manager

Diana's experience and qualifications through her 14 years in healthcare has given her the ability to strategically plan, implement and oversee projects. She is known for handling stressful and challenging situations with the utmost professionalism and grace. Diana believes to be a good leader; you must be open to learn every detail of each role within the practice. She has experience in nursing homes, hospital settings, specialty clinics, and Direct Primary Care. In her spare time, Diana enjoys being active outdoors with her family and creating memorable moments with them.

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