Our Practice
About Schine Health
Compassionate, evidence-based primary care for every individual and family.
Family Nurse Practitioner
Dr. Patric Schine
DNP, APRN, FNP-BC
Dr. Patric Schine is a board-certified Family Nurse Practitioner with more than 23 years of experience providing compassionate, evidence-based primary care to individuals and families across the lifespan.
At Schine Health, he focuses on comprehensive wellness, chronic disease management, preventative care, and personalized health solutions that meet the needs of a diverse patient population.
In addition to his broad family medicine background, Dr. Schine is nationally recognized for his expertise in gender-affirming care and is deeply committed to providing a safe, inclusive environment for all patients — especially members of the LGBTQQIP2SAA+ community.
Naturopathic Doctor
Dr. Alicia Spalding
ND
Dr. Alicia Spalding is a dedicated naturopathic doctor bringing a holistic approach to patient care at Schine Health. Known for her thoughtful and compassionate care, she focuses on understanding each individual's unique health journey.
Dr. Spalding's practice is grounded in inclusivity, meeting her patients where they are, and a genuine desire to empower her patients to thrive in their lives. She earned her Doctorate in Naturopathic Medicine from Bastyr University, where she honed her commitment to patient-centered, integrative care.
Dr. Spalding also serves as the Executive Director of Nature Nurture Farmacy, a community-based health organization whose mission is to build community health through the use of botanical medicine, sustainable food cultivation and empowering education.
Outside her work, Alicia enjoys exploring the natural beauty of the Pacific Northwest with her dogs, cooking and growing food and medicine. She's excited to bring her passion for wellness and community to Schine Health.
Adult-Gerontology Primary Care Nurse Practitioner
Dr. Bryan Webb
DNP, APRN, AGPCNP-BC
Dr. Bryan Webb brings more than two decades of healthcare experience to Schine Health, with a clinical background spanning primary care, office-based procedures, plastic surgery, and complex cardiovascular surgery. His extensive procedural and surgical experience gives him a practical, comprehensive approach to patient care, with an emphasis on listening to patients, understanding their individual needs, and developing evidence-based treatment plans that support their long-term health.
At Schine Health, Dr. Webb provides adult primary care, including preventive care, management of acute and chronic health conditions, medication management, health screenings, and in-office procedures. He is committed to making healthcare approachable and collaborative, helping patients understand their options and take an active role in their care.
In addition to caring for patients at Schine Health, Dr. Webb is an experienced educator and leader in advanced practice nursing. He has spent more than eight years developing and teaching continuing education programs for healthcare professionals and serves as the lead instructor for Primary Procedures, where he provides hands-on procedural training to clinicians. He also serves in academic leadership as the Director of a Post-Master's to Doctor of Nursing Practice program at a university in California.
Dr. Webb's combination of clinical practice, procedural expertise, and healthcare education brings a broad perspective to the Schine Health team — and reinforces our commitment to providing knowledgeable, thoughtful, and personalized primary care.
Family Nurse Practitioner
Jessica Layton
MSN, FNP-C
Jessica Layton, MSN, FNP-C, is a board-certified Family Nurse Practitioner who believes healthcare should feel approachable, collaborative, and personalized. She is passionate about creating a comfortable environment where patients feel heard, supported, and empowered to take charge of their health.
Originally from New Jersey, Jessica has lived throughout the United States while supporting her husband's military career and now proudly calls the Pacific Northwest home. She earned her Bachelor of Science in Nursing from the University of Delaware and her Master of Science in Nursing, Family Nurse Practitioner degree from Troy University.
With more than seven years of nursing experience spanning organ transplantation, labor and delivery, emergency medicine, and oncology, Jessica brings a well-rounded perspective to patient care. She is particularly passionate about women's health, mental health, preventive medicine, and helping patients make meaningful lifestyle changes that improve long-term health.
Outside of work, Jessica enjoys exploring the Pacific Northwest, traveling to new destinations, getting lost in a good book, and spending time with her husband and their two spoiled dogs, Jackson and Hamilton.
Behind the Scenes
Our Staff
Practice Manager & Co-Founder
Levi Schine
Levi Schine is the Practice Manager and co-founder of Schine Health, where he oversees the full spectrum of clinic operations with a hands-on leadership style and a steadfast commitment to patient-centered care. Drawing from over two decades of experience in healthcare, emergency services, and financial management, Levi brings operational excellence, strategic insight, and deep community engagement to his role.
Levi began his professional journey as an EMT and water safety instructor, earning his certification at Rogue Community College in Medford, Oregon. He served in multiple lifesaving and instructional roles with the American Red Cross, teaching over 40 courses and mentoring others in emergency preparedness, health, and safety. This early foundation in high-stakes, service-driven environments shaped his core values: preparedness, integrity, and care for others.
He went on to spend 13 years in banking, where he held leadership positions across all levels of branch operations — including mortgage services and team management. As a consistent top performer recognized with multiple awards, Levi led high-performing teams, oversaw regulatory compliance, and helped hundreds of clients navigate life's major financial decisions.
Since co-founding Schine Health in 2023 with his husband, Dr. Patric Schine, Levi has been at the center of every aspect of the clinic's operations — from HR and compliance to patient access, scheduling, billing, vendor relations, and strategic planning. He and his husband are active members of the local Chamber of Commerce and proud members of the Chehalis community, passionate about creating a healthcare space grounded in trust, professionalism, and respect for every individual who walks through their doors.
Licensed Practical Nurse
Alex Louthan
Alex Louthan is a Licensed Practical Nurse, U.S. Army veteran, proud dog dad to Bando, and the reigning Miss Gay Cascadia America Femme 2025. With experience spanning trauma nursing, geriatrics, and military medicine, Alex brings a unique blend of clinical expertise, leadership, and heart to every role he takes on.
During his service as a 68C Practical Nursing Specialist in the U.S. Army, Alex served in key leadership positions including NCOIC of Clinical Operations for the 29th Hospital Center and Interim NCOIC at Winder Clinic. In these roles, he coordinated patient care, supervised junior personnel, and helped ensure mission readiness while delivering high-quality medical support to service members and their families. His military career instilled in him a deep sense of discipline, resilience, and a commitment to leading by example.
As a nurse, Alex is known for staying calm under pressure, advocating fiercely for his patients, and bringing warmth and humor to even the most challenging situations. He believes that excellent care is built on compassion, attention to detail, and treating every person with dignity and respect.
Outside of healthcare, Alex is an accomplished drag entertainer and titleholder. As Miss Gay Cascadia America Femme 2025, he uses his platform to celebrate authenticity, uplift his community, and prove that strength and sparkle can coexist beautifully. Whether he's in scrubs or sequins, Alex leads with confidence, kindness, and just the right amount of sass.
When he's off the clock, Alex enjoys spending time with Bando, his loyal fur kid, who keeps him grounded and guarantees there's never a dull moment. At his core, Alex is a caregiver, leader, performer, and advocate who believes that a little humor, a lot of heart, and unwavering authenticity can make a lasting impact wherever life takes him.
Medical Assistant
Claire Alvarez
Claire brings more than five years of experience in family practice and a true passion for patient care to the Schine Health team. Known for her compassionate nature, warm personality, and dedication to helping others, Claire is committed to creating a welcoming environment where every patient feels valued, heard, and supported.
As a strong advocate for both her patients and the Latin community, Claire believes that kindness, empathy, and respect are essential parts of quality healthcare. She takes pride in building meaningful relationships with patients and strives to make every visit as comfortable, positive, and reassuring as possible. Her ability to connect with people from all walks of life allows her to provide care with patience, understanding, and compassion.
Outside of the clinic, Claire enjoys spending time with her husband and their three children, embracing life as a busy sports mom and making memories through family adventures. She loves hiking with her two dogs, caring for her five chickens, relaxing with a great cup of coffee, and exploring her interests in anime, K-dramas, and Asian cuisine.
Claire's caring heart and dedication to serving others shine through in everything she does, and we are excited to have her as part of the Schine Health family.
About Nurse Practitioners and Naturopathic Doctors
Nurse Practitioners (NPs) are advanced practice registered nurses with graduate-level education and advanced clinical training. NPs diagnose and manage acute and chronic conditions, order and interpret diagnostic testing, prescribe medications and provide comprehensive primary care. Their approach combines evidence-based medical care with a strong emphasis on prevention, health education and the overall well-being of each patient.
Naturopathic Doctors (NDs) are licensed providers who complete four-year, accredited naturopathic medical programs and are trained to diagnose, prevent and treat acute and chronic conditions. Their approach emphasizes whole-person care, prevention, nutrition and lifestyle while integrating conventional diagnostic testing and medications with complementary therapies when appropriate. In Washington State, licensed NDs can serve as primary care providers, order diagnostic testing and prescribe medications within their state-defined scope of practice.
At Schine Health, comprehensive primary care is personal. We take the time to listen, understand your needs, and provide thoughtful, evidence-based care built around you — not just your diagnosis.