Peggy Cleveland
Community Health Representative/CHR
509 634 2939 Phone
Cell: 322-7956
Hours: 7:30 a.m. – 4:00 p.m

Community health representatives, or CHRs, play an important role in every tribal health program. As the "first line of defense," CHRs can both spot critical problems before they become serious, and as trained professional, can help patients as first responders in emergency situations. As a group of dedicated individuals, they work to fulfill specific tribal needs and work as liaisons between the Indian Health Service (IHS) and the community. They refer patients, help the health clinics gain community support and, most importantly, increase the quality of life for those they care for.

Teresa Brown, CMA/CLC

WIC Certifier
509 634 2960 Nespelem
Cell: 509 322 7961
Schedule: Monday, Tuesday, Thursday & Friday
Hours: 7:30 a.m. to 4:00 p.m.

Women, Infant & Children: The mission of the WIC program is to improve the lifelong health and nutrition of women, infants, and young children in Washington State. WIC is a nutrition program that helps pregnant women, new mothers, and young children eat well, learn about nutrition and stay healthy. Nutrition education and counseling, nutritious foods, and assistance with access to health care are provided to low-income women, infants, and children. Teresa is also a certifier Lactation Specialist and can help with any questions in reference to breastfeeding.

Hope Achenbach
Public Health Nurse (PHN)
509 634 2952
Hours: 9:00 a.m. – 3:00 p.m.
MSS Schedule: Tuesday Only

Public Health Nurse provide casement management and maternity support services to assist Medicaid eligible pregnant women to access medical care and provide preventative health services to promote a healthy birth outcome for the greater Nespelem valley clients. Provide direct health education and activities for individuals and groups. Goal is to improve quality of life and increase the health life span of Tribal members. Provide direct health education and activities for individuals and groups. PHN is a Certifier CPR, First Aid and HIV/Aids Trainer.

Registered Dietitian
509 634 2952
Cell: 509 675 6596
Hours: 9:00 a.m. – 4:00 p.m.
Scheduled WIC/MSS Days: Tuesday

Nutritional services include weight management, individual nutrition counseling, group presentation, menu writing, exercise information, recipe ideas and handouts and Registered Dietitian is also a Lactation Specialist.

Val Vargas-Thomas, Program
Manager/Tobacco Prevention Specialist
509 634 2944 or 509 634 2957
Cell: 509 322 7957
Fax: 509 634 2963

• Increase Community Capacity for Tobacco Control;
• Prevent Initiation of Tobacco Use;
• Promoting Quitting of Tobacco Use;
• Eliminate Exposure of Secondhand Smoke.

Nespelem Youth Group is currently meeting on the first and third Wednesday at 6:30 p.m. at the Nespelem School. Please come and join our group. We are looking for youth 12 years and older and definitely need assist from parents and community members.

• Maternal Support Services: Public Health Nurses and CHRs provide casement management and maternity support services to assist Medicaid eligible pregnant women to access medical care and provide preventative health services to promote a healthy birth outcome.

• Breastfeeding Mentoring: The breastfeeding mentors can help with common breastfeeding issues such as nursing positions, questions about pumping and storing, and provide support moms and dads need to make breastfeeding a success. Mentors are available to nursing mothers, as well as partners, families, prospective parents, health professionals, and institutions seeking to better educate new mothers about the benefits of breastfeeding