Maria Spetzler, PA

Maria Spetzler, PA

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Fortuna Adventist Community Service

Fortuna Adventist Community Services 2331 Rohnerville Rd., Fortuna, CA, United States

Open Door's Mobile Medical Unit will be at Fortuna Adventist Community Services, 2331 Rohnerville Rd., Fortuna.

Fortuna Adventist Community Service

Fortuna Adventist Community Services 2331 Rohnerville Rd., Fortuna, CA, United States

Open Door's Mobile Health Services will be at Fortuna Adventist Community Services, 2331 Rohnerville Rd., Fortuna. Open Door Promotores de Salud.

Fortuna Adventist Community Service

Fortuna Adventist Community Services 2331 Rohnerville Rd., Fortuna, CA, United States

Open Door's Mobile Health Services will be at Fortuna Adventist Community Services, 2331 Rohnerville Rd., Fortuna. Open Door Promotores de Salud.

Fortuna Adventist Community Service

Fortuna Adventist Community Services 2331 Rohnerville Rd., Fortuna, CA, United States

Open Door's Mobile Health Services will be at Fortuna Adventist Community Services, 2331 Rohnerville Rd., Fortuna. Open Door Promotores de Salud.

Fortuna Adventist Community Service

Fortuna Adventist Community Services 2331 Rohnerville Rd., Fortuna, CA, United States

Open Door's Mobile Health Services will be at Fortuna Adventist Community Services, 2331 Rohnerville Rd., Fortuna. Open Door Promotores de Salud.

Fortuna Adventist Community Service

Fortuna Adventist Community Services 2331 Rohnerville Rd., Fortuna, CA, United States

Open Door's Mobile Health Services will be at Fortuna Adventist Community Services, 2331 Rohnerville Rd., Fortuna. Open Door Promotores de Salud.

Fortuna Adventist Community Service

Fortuna Adventist Community Services 2331 Rohnerville Rd., Fortuna, CA, United States

Open Door's Mobile Health Services will be at Fortuna Adventist Community Services, 2331 Rohnerville Rd., Fortuna. Open Door Promotores de Salud.

Fortuna Adventist Community Service

Fortuna Adventist Community Services 2331 Rohnerville Rd., Fortuna, CA, United States

Open Door's Mobile Health Services will be at Fortuna Adventist Community Services, 2331 Rohnerville Rd., Fortuna. Open Door Promotores de Salud.

Fortuna Adventist Community Service

Fortuna Adventist Community Services 2331 Rohnerville Rd., Fortuna, CA, United States

Open Door's Mobile Health Services will be at Fortuna Adventist Community Services, 2331 Rohnerville Rd., Fortuna. Open Door Promotores de Salud.

Fortuna Adventist Community Service

Fortuna Adventist Community Services 2331 Rohnerville Rd., Fortuna, CA, United States

Open Door's Mobile Health Services will be at Fortuna Adventist Community Services, 2331 Rohnerville Rd., Fortuna. Open Door Promotores de Salud.

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Walk-In Acute Care Services

Do you need medical care today, but you can’t get in with your regular Open Door provider?

Open Door is pleased to announce walk-in services for non-life threatening medical issues!

What: Open Door Acute Care Center (ACC) for walk-in appointments for established Open Door patients

Who: for all established Open Door patients.  We cannot accept anyone who is not already a patient of Open Door. 

Where: 2412 Buhne Street, Eureka, CA 95501 | 707.443.4666 phone

When: 8 am – 5 pm, Monday through Friday (closed for lunch 12:00PM – 1:00 PM)

What: Walk-in health center (no appointment needed) for established patients

Morning appointments accepted before 11:15 AM

Afternoon appointments accepted before 4:15 PM

The ACC serves the following acute issues:

  • Cough, chest, or sinus congestion
  • Sore throat
  • Earache/ear pain
  • Nausea/vomiting
  • Diarrhea/constipation
  • Headache/migraine
  • Pinkeye
  • Eye injury
  • Asthma or COPD flare up
  • Wounds/minor injury
  • Abscess or other infection
  • Lice, scabies, ringworm, or rash
  • STD testing
  • UTI or yeast infection
  • Back or joint pain, less than 2 weeks

Important Notes:

  • Appointments are made on a first-come first-served basis.
  • Wait times can be up to 2 hours.
  • Come in early, as schedules fill up quickly.  We open to pts at 8 am and 1 pm.   You can call ahead to see if our schedule is full at (707) 443-4666. 

The Acute Care Center cannot see patients for work related injury or illness, sports physicals, or medication refills of any kind. 

We cannot treat life-threatening conditions. If you have any of the following, please call 911 or proceed to the Emergency Department nearest you:

  • Chest pain or heart palpitations
  • Acute psychiatric changes including suicidal ideation
  • Severe abdominal pain, active internal bleeding (throwing up blood or black stool)
  • External bleeding, uncontrolled bleeding or bleeding/ spotting with possible pregnancy
  • Poisoning
  • Car accident/physical trauma (assault/major fall)
  • Suspected (child, sexual, or elder) abuse
  • Neurological changes including stroke, recent loss of consciousness, decreased level of consciousness (unusually sleepy, listless, “out of it” confused, hard to wake, not acting normal) and seizures

Eureka


The Eureka Community Health and Wellness Garden developed in 2014. The Eureka garden is used for food production, community volunteer events, and garden demonstrations. We're currently developing a sensory garden behind the Eureka Community Health Center, right next to our Pediatric lobbies.

Our Eureka volunteer hours allow patients and community members to come grow food for the patients who visit the health center. We appreciate our new partnership with Making Headway Center for Brain Injury Recovery and are grateful for all the participants who lend their time to volunteer in our gardens.

Services Provided:

  • Self-Guided Tours
  • Weekly Drop-In Volunteer Hours
  • Group Education Opportunities
  • Compost Drop Off
  • Seasonal Lobby Harvest Distribution

Please see the event calendar below for more information!

Diana Ritchie, Chiropractor

Diana earned her Doctor of Chiropractic from Life West Chiropractor College in Hayward, CA where she graduated Cum Laude. She specializes in conservative musculoskeletal care. In 2021 she moved up to Humboldt for the rain and fog and worked for Active Care Chiropractic in Eureka. She hails from Berkeley, California and as a child was part of a stilt walking group that would walk for large events like the Grateful Dead. .Her hobbies include mushroom hunting, whitewater kayaking and rafting.

Reach out to Collaborative Care at TVSC if you have questions or think a patient might be a good fit for chiropractic care

Licensed Acupuncturist

We are pleased and proud to announce the addition of Kenneth Drake, Acupuncturist, to our Medical staff. Ken grew up in Idaho but was first introduced to acupuncture and Chinese culture when he lived with a Chinese family in college.

He then earned his Master of Traditional Chinese Medicine degree from Five Branches University in Santa Cruz in 2011 and has since studied in China and lived in Taiwan.

He ran a busy private practice in San Luis Obispo, CA but always wanted to live in Northern California. He was attracted to Open Door by our community focus and accessibility to those who don’t normally have access to acupuncture.

Some of his specialties are pain management, addiction, stress reduction, and hormonal health.
Kenneth was drawn here by the stunning nature and kind people.

Hiking, fishing, traveling, and playing chess with his daughter are some of his favorite things to do when not working.

Wave Clinic
Ken's acupuncture 'Wave Clinic' is a community style clinic the way it's done in China.  It's semiprivate; you get your own space sperated by screens, but you get the added benefits of healing your biorhythms, or "waves" in a shared space.

Once you are settled onto a warm bed Ken will come to talk with you about your troubled areas and treatment options,, once the needles are placed, you can relax and rest.

We request that you wear comfortable clothing that can easily be rolled up or down, while in 'Wave Clinic' we ask you to use quite voices and limit caffeine the day of appointment. 

Weight Loss for Wellness (in Eureka at the Collaborative Care Health Center) 

Led by Nurse Practitioner Darra Husome, this group supports participants with weight loss goals learn about healthy eating and the power of making small, sustainable changes in a motivational collaborative environment.

The Mind-Body-Lifestyle group

The Mind-Body-Lifestyle group invites individuals managing one or more chronic conditions, including chronic pain, to join a transformative 9-week program.  This group integrates mainstream medical treatments with holistic and alternative therapies to address the whole person-mind, body, spirit, lifestyle.

Sessions are held in a supportive group setting, with multiple times and days available.  Groups take place at Collaborative Care Services, located at 2426 Buhne Street, Eureka, CA.

How to Join the Mind-Body-Lifestyle group:

  • Speak with your Open Door provider for a referral, or
  • Self-refer by calling Collaborative Care Services at (707) 443-4666.

Take the first step toward comprehensive whole-person care today!

Chronic Pain Groups (in Fortuna at the Fortuna Community Health Center)  

Led by Nurse Practitioner Georgina Grimm, these groups help participants manage
their chronic pain though a holistic approach with emphasis on physical and
mental health support.  Each group reviews various coping techniques,
self-care skills and educational topics to help patients make meaningful
changes to improve day to day pain and quality of life.  

Collaborative and Trust-Building with Healthcare


We believe that healthcare serves as a connection to public and nonprofit services; integrating food resource referrals builds trust and fosters feedback among all stakeholders.

Trauma-Informed and Empowering Approaches


We believe that using trauma-informed methods in nutrition and garden programming engages and empowers patients and supports stress de-escalation to achieve desired wellness goals.clinical care reduces stigma and enhances the effectiveness of food resources and benefit programs.

Integration of Food Resources


We believe that linking food provision with clinical care reduces stigma and enhances the effectiveness of food resources and benefit programs.

Social Determinates of Health


We believe that addressing upstream social determinants of health is essential to improving health outcomes and reducing health inequities.

We acknowledge that low-income and BIPOC communities disproportionately face food insecurity and chronic disease due to structural inequities and systemic racism.

Food as a Human Right


We believe that healthy, appropriately produced, and culturally affirming food is a human right and should be accessed with dignity and personal agency.

Willow Creek


The Willow Creek Community Health and Wellness Garden was developed during the seasonal transition from winter 2012 to the spring of 2013, when Open Door staff were able to turn a vacant lot next to the health center into a vibrant garden space filled with fruit trees and raised beds for produce and flowers.

Services Provided:

  • Free Garden Bed Rental Program
  • Scheduled Volunteer Hours
  • Group Education Opportunities
  • Seasonal Lobby Harvest Distribution

Please see the event calendar below for more information!

Del Norte


Open Door's Community Health and Wellness Garden program began in 2011 with our first garden in Del Norte. The Del Norte Community Health and Wellness Garden was built between 2011 and 2013. This welcoming community space was a result of the efforts of passionate staff champions and the collaboration with a group of dedicated community partners.

The garden emerged alongside Open Door's Rx for Wellness program as a health resource initiative within a suite of developing services dedicated to advancing Open Door's whole-person, patient-centered philosophy of care.

Services Provided:

  • Weekly Drop-In Volunteer Hours
  • Free Garden Bed Rental Program
  • Youth Summer Education Programs
  • Gardening Workshops

Please see the event calendar below for more information!

Fortuna


The Fortuna Community Health and Wellness Garden began in 2015 in partnership with the Fortuna Garden Project, and is our largest Humboldt-based garden space. The most recent iteration of the Fortuna Community Health and Wellness Garden launched in the fall of 2018, concurrent with the opening of the Fortuna Community Health Center.

Centro del Pueblo cares for the Sanctuary Garden of Fortuna in the Fortuna wellness garden space. We are grateful for the partnership and community we've built together with their team.

Services Provided:

  • Self-Guided Tours
  • Weekly Drop-In Volunteer Hours
  • Group Education Opportunities
  • Compost Drop Off
  • Seasonal Lobby Harvest Distribution

Please see the event calendar below for more information!

Photo of residents working on clinical training
  • Precepted clinics
    • These are the cornerstone of the residency. In precepted clinics, the APC residents each develop their own patient panel while having an expert Open Door primary care provider (MD, APRN or PA) exclusively assigned to them.
  • Specialty rotations
    • The APC residents complete rotations in areas of high-volume/high-burden/high-risk situations most commonly encountered in the setting of the FQHC. Sample rotations include: orthopedics, dermatology, women’s health, pediatrics, geriatrics, newborn/nursery, HIV care, adult behavioral health, child and adolescent behavioral health, and healthcare for the homeless.
  • Mentored independent clinics
    • During independent clinics, the APC residents work as members of a team and see patients at the delegation of other primary care providers, who remain available for consultations. The focus is on the practice of episodic and acute care visits.
  • Didactic Sessions
    • The NP/PA residents attend formal learning sessions on a variety of complex clinical challenges most commonly encountered in FQHCs. The content of the presentations is planned to correspond to the residents’ current clinical experiences.
    • Quality Improvement Training: Training on Open Door’s Quality Improvement model, including clinical microsystems and facilitation as well as leadership development.
    • Journal club: bimonthly journal presentation related to evidence-based practice…
    • “Hot Topic” Preclinic Conference: weekly preclinic conference led by individual residents or faculty related to core primary care topics and patient presentations
  • Quality Improvement Project and Training: Training on Open Door’s Quality Improvement model, including clinical microsystems and facilitation, as well as leadership development.
APC Residency Year 1 Sample
APC Residency Year 2 Sample
evaluations graphic button

Evaluations:

The Open Door APC Residency program includes an ongoing, multi-input evaluation component, using qualitative and quantitative measures

Self-assessments, mid-year, and end-of-year formal assessments of core competencies.

Multiple opportunities throughout the year for real-time feedback, skills assessment, and patient care observation.

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Immunization Clearance Guidelines
Head shot photo of Jennifer Stone, DMD

Dr. Jennifer Stone is a public health dentist who aims to change the social perceptions of dentistry. She graduated at the top of her class from the Arizona School of Dentistry & Oral Health with a Doctorate of Medicine in Dentistry (DMD) and a Master’s in Public Health (MPH). She has taken countless hours of additional pediatric dental training and education. Her gentle and supportive demeanor allows her to work with fearful and apprehensive young patients. She creates a fun and fear-free zone and prioritizes creating good dental experiences. She utilizes behavioral guidance techniques such as positive self-talk, breathing exercises, distraction techniques, and motivational interviewing. Dr. Stone goes beyond simply treating a tooth by promoting whole-person healthcare which empowers children to care about their overall health and maintain healthy habits for life.

Before coming to Open Door, Dr. Stone created a classroom-based educational curriculum for elementary-aged students in Arizona and Mexico. She has also volunteered hundreds of hours, both domestically and internationally, serving those who need dental care most. Her unwavering commitment to community dentistry has been recognized with several prestigious awards from organizations such as the California Dental Association, the National Health Service Corps, and Rotary International. 

Head Shot of Luisa, Registered Dental Assistant

Luisa is a Registered Dental Assistant and graduated from College of the Redwoods Dental Assisting program in 2019. She has an innate desire to care for others which was cultivated by her strong family ties and caring for her nephew since he was born. Luisa offers a calm and nurturing personality that provides comfort to young children. Her contributions to the van include top organizational skills and always looking for ways to be more efficient, aiding in quick visits. Outside of dentistry, Luisa likes exploring new restaurants and learning how to cook. Luisa is also fluent in Spanish.

Head Shot of Carolina Bonilla, Registered Dental Assistant

Carolina is a Registered Dental Assistant and graduated from College of the Redwoods Dental Assisting program in 2020. Her passion for working with children drew her to the dental van where her engaging communication skills allow her to connect with children of all ages. Carolina enjoys the challenge of turning fearful patients into those who enjoy going to the dentist. With a bubbly personality and attention to detail, she is a great addition to the van team. In her free time, she enjoys dog sitting, spending time with family, and listening to audiobooks (both in English and Spanish).

Angelo Alfano, FNP Headshot Eureka

Values of Open Door NP Residency:

  • Promotion of a diverse provider workforce representative of the community it serves.
  • Dedication to training NP’s to practice at the full extent of their scope.
  • Promote provider retention in the field of primary care.
  • Training providers to work in a low resource rural practice setting.
  • To produce providers that apply their medical knowledge to care for complex medical patients with confidence and compassion.

Testimonial:

“The open door NP residency allowed me to gain confidence taking care of the most complex family medicine patients in a low resource rural practice environment. This program taught me that being a primary care provider is about working as a team at every level to support each other and the patient in achieving their goals of care. The preceptors of this program set the bar for intelligence and compassion, each is dedicated to educating and supporting the next generation of primary care providers”

Angelo Alfano, FNP
Marressa Ozokwere, FNP Eureka

"I love the fact that when I started Residency and decided to stay on board with Open Door, there was and continues to be support available at all times.There is this constant push for excellence and growth; I love that there are constant ways to hone my craft as I am introduced to up to date treatment guidelines.The patient population and their feedback constantly shows me the reward that comes from giving and the need to continue to be better."

Values for Residency:

  • Heal and comfort; serve compassionately
  • Serve as representatives for Open Doors’ Mission to provide quality care to all people
  • Foster growth, excellence and positivity
  • Excel at our craft and find ways to continue to improve. View Self-reflection as a strength
  • Support and learn from updated research and share with peers; be a lifetime learner
  • Treat all equally and responsibly use our power for good
Marressa Ozokwere, FNP
Stephanie Randall, FNP Button

"The support and continued professional growth offered by the residency program during the often difficult transition from student to provider is priceless. I could not imagine beginning my NP career without it. The organization is welcoming and supportive and the diversity of the patient population provides unique and valuable training opportunities. It has been an outstanding experience I feel lucky to have had the opportunity to be a part of. I wish that all NP’s could have the same supportive start."

Stephanie Randall, FNP
Requirements for newly graduated Nurse Practitioners and Physician Assistants Graphic button

Requirements for newly graduated Nurse Practitioners and Physician Assistants

  • Copy of RN license
  • Copy of California APRN or PA-C Licenses
  • Copy of licenses from any other state
  • California Controlled Substances license
  • Federal DEA certificate
  • Copy of driver’s license
  • Professional diploma. (BSc, BSN, MS, MSN)
  • Three (3) signed letters of recommendation, at least one of which should include your former employer and one peer
  • Non-US residents must provide proof of eligibility to work in US (permanent resident card / VISA etc.), if applicable
Qualifications graphic button

Applicants must be recent graduates (less than 18 months) from an accredited master’s or DNP program, licensed (CA APRN) and credentialed (FNP-C) or license/credential-eligible as an FNP or PA-C with a stated commitment to practice as a primary care provider in Federally Qualified Health Centers (FQHC) or other safety-net settings upon completion of the residency.

Humboldt Bay Harbor Cruise (The Madaket)

Photo of the Humboldt Bay Harbor Cruise boat The Madaket

Humboldt Coastal Beaches and Hiking Trail (moonstone beach, headwater trail, etc)

Photo of Fern Canyon.

Sue-Meg State Park

Photo of Sue-Meg State Park located in Trinidad, California

Avenue of the Giants

Photo of car driving though a passage cut through a tree at Avenue of the Giants

Kinetic Sculpture Race

Photo of a bike participating in the annual Kinetic Sculpture Race

The Carson Mansion

Photo of the Carson Mansion in Eureka

Trees of Mystery

Photo of a statue of a lumber jack and bull located outside of Trees of Mystery

Fern Canyon

Photo of family hiking at Fern Canyon.

Confusion Hill

Photo of tiny red building located at Confusion Hill

Redwood Sky Walk at Sequoia Zoo

Photo of Walkway along tree locted at Redwood Sky Walk at Sequoia Zoo
Photo of meeting room at Open Door is a button to what makes us unique

Point of Care Ultrasound Training (POCUS)

The ODCHC APC residency program offers a Point of Care Ultrasound (POCUS) training program as part of our Advanced Practice Clinician (APC) residency curriculum. This program equips healthcare providers with the skills to perform and interpret ultrasounds at the patient’s bedside, resulting in enhanced diagnostic accuracy, timely decision-making, reduced healthcare costs, improved patient experience, expanded access to underserved areas, and opportunities for education and community health promotion. By integrating POCUS into our curriculum, we enhance patient care and access to healthcare while reducing costs benefiting individual patients and the community.

Procedure Clinic

The procedure clinic within our Advanced Practice Clinician (APC) residency curriculum at Open Door Community Health Centers empowers our healthcare providers with the skills to perform essential medical procedures efficiently in the primary care setting, such as biopsies, injections, suturing, etc. This program significantly benefits our patients and community by ensuring enhanced patient care, reduced wait times, cost-effective treatment, and improved access to essential healthcare services. With procedure-trained providers, we prioritize patient well-being, offer prompt and effective procedures, and contribute to our community’s overall health and satisfaction.

Longitudinal Pediatric Clinics

Our Longitudinal Pediatric Clinic training, an integral component of the Advanced Practice Clinician (APC) residency curriculum at Open Door Community Health Centers, is designed to equip our healthcare providers with specialized skills in pediatric care. This program offers numerous benefits to our patients and community by ensuring comprehensive, continuous, and high-quality healthcare for children. Our residents gain expertise in pediatric diagnosis, treatment, and prevention, leading to improved child health outcomes. By focusing on pediatric care, we are committed to enhancing the well-being of our young patients, fostering healthier communities, and providing a vital service to families in need of specialized healthcare for their children.

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