Who We Are

The Orcas Family Health Center is a 501(c)(3) charitable non-profit rural health center providing access to primary healthcare and related medical services. As a Certified Rural Health Clinic, we are acutely aware that affordability of care has become an unattainable matter for more and more people, many of whom are slipping through the safety net. We are among many such rural and underserved communities that face such challenges. With these facts in mind, we here at Orcas Family Health Center welcome all people regardless of their medical insurance status or ability to pay.

Dr. David Shinstrom, M.D.
Medical Director

Dr. David Shinstrom M.D., ABFM (American Board of Family Medicine) is a native of Kirkland, Washington whose first visit to Orcas Island was as a camper at Camp Orkila. After graduating from Whitman College in Walla Walla, Washington he attended medical school at the University of Cincinnati in Cincinnati, Ohio. Dr. Shinstrom’s interest in rural medicine took him to Augusta, Maine for his three year Family Medicine Residency training. He utilized this rural training during the five years he was in private practice in Forks, Washington, after which he returned to Maine where he was the Medical Director of the Maine-Dartmouth Family Practice Residency. Never having forgotten Orcas Island, Dr. Shinstrom returned here in 1993 where he has practiced Family Medicine ever since. During this time he has been recognized as a Clinical Instructor by the University of Washington, School of Medicine, Department of Family Medicine. In addition, Dr. Shinstrom has been recognized as one of the Highest Performing Clinicians by Regence Blue Shields Clinician Performance Project. Also among recent accolades, is a Group Cooperative Award of Excellence recognizing his valuable contributions to the excellence in care delivered to Group Health Patients and in promoting comprehensive and continuous care.

Jim Litch
Jim Litch, MD

Jim Litch, M.D is available to see patients at OFCH on Tuesdays. Dr. Litch completed medical school training at the University of Michigan and his Family Medicine residency in the University of Washington Network/Swedish Medical Center in Seattle. His association with Orcas Island began in 1994 as a locum physican. Since that time he has worked as a physician for the University of Washington, Puget Sound area community clinics, and provided primary and emergency care in the San Juan Islands. Jim has worked in some very challenging settings including 6 years in Nepal and India running a remote hospital and clinic system, providing care at a hospital for refugees, and serving as fulltime advisor to the Nepal Ministry of Health. Dr. Litch  is still working in Global Health leadership improving childbirth outcomes worldwide with international agencies such as USAID, WHO, and UN. Dr. Litch lives on Orcas with wife Rachel Bishop and two children.


Carrie Feuer, PhD

Carrie Feuer, PhD, provides counseling services at OFHC on Wednesdays. Dr. Feuer received her PhD. from Saybrook Graduate School and Research Center in San Francisco. She moved to Orcas after 5 years in private practice in Hawaii. Her special areas of expertise include depression, anxiety, marital issues, adolescent issues and substance abuse.


 Karen Caley Orr, PA-C
Certified Physician Assistant

Certified Physician Assistant Karen Caley Orr joined the Orcas Family Health Center team in 2013. She is a native of Seattle, Washington and has spent most every summer of her life on Orcas. She relocated to the island in June of 2012 and brings with her 15 years of urgent care experience. Karen is proficient with medical issues ranging from pediatric to geriatric and everything in between. Karen also has knowledge and interests in promoting fitness and wellness. She holds a degree from Seattle Pacific University in Exercise Physiology and has worked in Sports Medicine as well as a Personal Trainer. Karen herself can be spotted jogging around the San Juans.

Ms. Aaimee Johnson
OFHC Office Manager

Ms. Aaimee R. Johnson is our Office Manager extraordinaire. She brings 26 years of Business Operations experience and 19 years Personnel Management experience to our administrative staff and somehow keeps everything moving forward. She has a Bachelor of Science degree in Business Administration/Healthcare Management, and a Bachelor of Arts degree in Psychology. Aaimee loves to tackle service projects that involve multiple organizations in the community-using the strength of numbers to improve health and quality of life for those who visit or live on Orcas Island and the San Juans.

Staff Jan 2015

OFHC Medical and Administrative Staff

Back row: Holly, Heather, Marie, Mallory, Dixie, Erin, Andy, and Masha

Front row: Dr. James Litch, Dr. David Shinstrom, Dr. Carrie Feuer, and Aaimee Johnson

Not shown: Karen Caley Orr

The Board of Directors

Back Row: Randy Jezierski, Bruce Heller, Ken Speck, Charles Binford

Middle Row: Bill Gincig, Joyce Burghardt, Audrey Stupke, Maggie Kaplan, Karen Speck

 Front Row: Henry Parsons, Jack Becker, Pat Muffett

Missing from photo: Steve Hopkins and Justin Paulsen

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