

Men's Health: Testosterone replacement, sexual health, and performance optimization
Women's Health: Hormone replacement therapy
Health & Wellness for Everyone: Medical weight loss, B12 & lipotropic injections, thyroid optimization, school sports physicals, trigger finger injections, knee and shoulder injections, express appointments.


S. Robert "Rob" Spence, DNP, ARNP, FNP-BC, ACHPN
Dr. Rob is a board certified family nurse practitioner who is passionate about health and wellness. He graduated from Washington State University for both his doctoral and undergraduate programs. He graduated from Lower Columbia College for his RN. He has been a resident of Cowlitz County for most of his life and is proud to serve his community.​
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Certifications
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Family Nurse Practitioner: American Nurses Credentialing Center
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Advanced Certified Hospice and Palliative Nurse: Hospice & Palliative Credentialing Center
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​Education
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Doctor of Nursing Practice: Washington State University
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Bachelor of Science in Nursing: Washington State University
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Associate of Applied Science in Nursing: Lower Columbia College
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​Professional Organizations & Affiliations
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American Association of Nurse Practitioners
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ARNPs United of Washington State