About Us

“It is my mission to make health accessible and sustainable for families living in N/NE Portland. It is my dream to provide primary care to families in the city I grew up in, in my neighborhood, for the duration of my career. It’s about quality of life. I love walking to work and look forward to practicing here until I am an old woman.”

— Shelda R. Holmes, Family Nurse Practitioner

Shelda R. Holmes, FNP
Family Nurse Practitioner, Co-Medical Director, Owner
Pronouns: She/Her

“Be what you want to see in the world.”

Shelda Holmes established Hands On Medicine in 2006. After working many years within several different clinics in Portland she became fed-up with 6-minute office visits and 28-patient days. Recognizing she couldn’t hold her breath waiting for a nationalized health care system, Shelda decided to create a different kind of clinic. Hands On Medicine was established to provide high quality care with the patient-clinician interaction at the heart of the practice.

Shelda believes a person’s relationship with their family and community affects one’s health. She feels the clinic experience should empower patients and providers alike with the expectation of personal accountability and autonomy while balancing our responsibilities to one another.

Over a decade later, she is still creating a healing space in the neighborhood. However, she has taken a step back from direct patient care to work as the Medical Director. In this role she continues to see high acuity patients but spends more time managing the business, advising the fabulous Hands On Medicine staff, and providing both advocacy and consultation services.

Shelda has an impressive professional CV that includes inpatient experience in hematology-oncology and blood, marrow and stem cell transplantation; outpatient experience in reproductive health, community medicine and nursing, and drug and alcohol treatment; research experience in massage therapy, immunotherapy, and health systems; and extensive policy experience as a citizen lobbyist.

Shelda Holmes is a Portlander through and through. She was born and raised in Portland. While she has traveled extensively for medical charity and pleasure, she always comes home. Shelda and her family live in North Portland, and she is the proud mama of Ruby and foster mom to many children. She is very politically involved and especially passionate about improving foster care in Oregon. In her free time, she enjoys outdoor sports, gardening and reading.

Primary Care

Kim Kelsey, FNP
Family Nurse Practitioner, Co-Medical Director
Pronouns: She/Her

Kim Kelsey is a Family Nurse Practitioner who provides primary care for adults and children. She offers care for people with chronic diseases and as well as preventative care. Kim has a special interest in women’s health, pediatrics, and integrative medicine.

Kim uses a collaborative approach, helping her patients to define and meet their own health goals. She believes that listening is the most important aspect of her job. Kim sees her role as a teacher and guide, offering information and tools to promote health and reduce the negative effects of disease. These tools may include medications, herbs, food, exercises, referrals to conventional or alternative specialists, or assistance with lifestyle changes.

Kim grew up in Washington state on the Puget Sound. She moved to Portland in 2005 to work as a Registered Nurse. She spent the beginning of her career taking care of new mothers and their babies. She received a Master of Nursing degree from Oregon Health and Science University and was certified as a Family Nurse Practitioner in 2012. Prior to joining Hands On Medicine she had a primary care practice in Woodland, Washington at the Cowlitz Family Health Center.

In addition to her work as a nurse, Kim teaches Anatomy and Physiology at The Elderberry School of Botanical Medicine, which she co-founded in 2007. She enjoys making music, hiking in the woods, and spending time with her husband and daughter.

Melanie Anthony, FNP
Family Nurse Practitioner
Pronouns: She/Her

Melanie Anthony

Melanie is a licensed and board-certified Family Nurse Practitioner. She graduated with honors from Humboldt State  University with a bachelor’s degree in molecular biology, and then went on to study nurse-midwifery at Vanderbilt University. After catching a handful of babies, she ultimately moved into family practice where she can nurture her love for working with patients of all ages and genders on a variety of health issues. While completing her MSN, Melanie worked as a registered nurse in a correctional facility in Nashville. She remains passionate about providing accessible and nonjudgmental healthcare to patients who are members of medically underserved or stigmatized populations.

As a provider, Melanie strongly believes in meeting patients wherever they are in their healthcare journey. She sees partnering in care as crucial to patient empowerment. Melanie is a compassionate listener, educator, and motivator.

Melanie enjoys hiking, cooking, running, and being outside. She is excited to be back in the Pacific Northwest where she can adventure with her partner and dog.

Whitney Ault, FNP
Family Nurse Practitioner
Pronouns: She/Her

Whitney Ault is a Board Certified Family Nurse Practitioner through the American Academy of Nurse Practitioners who provides primary care for adults and children. She graduated from the University of Portland with her Bachelors in Science of Nursing in 2007. In her early career, she worked with patients on a medical surgical unit focused on urology and then transitioned into Women’s Health and OBGYN. She went back to school in 2014 and graduated from Frontier Nursing University with her Masters of Science in Nursing. She appreciates working with patients across the lifespan and empowers her patients to prevent and improve their health using a holistic approach.

Whitney was born and raised in Albuquerque, New Mexico. After attending college in the Northwest she fell in love with the green landscape and made a home in Portland. In her free time she enjoys exploring the outdoors, running, biking, gardening, and spending time with her husband, son, and furry babies.

Natalie Paul, FNP-C
Family Nurse Practitioner
Pronouns: She/Her

Natalie Paul

Natalie Paul is a nurse practitioner with 5 years experience of providing primary care and urgent care services. Natalie enjoys providing full spectrum primary care from a trauma-informed and Health At Every Size (HAES) perspective. Natalie is particularly passionate about LGBTQ+ health and gender affirming hormone therapy. Natalie also has a strong interest in keeping current on scientific literature for best practices in primary care and practicing evidence-based medicine.

Natalie’s background includes four years of primary care at a rural community health clinic at Family Health Center where she served the low income rural communities of Southwest Washington and was a safe haven for the LGBTQ+ community. She also worked for one year at ZoomCare providing telehealth services. She has a unique scientific background for a nurse practitioner; she has four scientific publications (one of which is first author) and had a two-year research fellowship in functional neuroimaging at Duke University where she studied how mindfulness buffers the brain from the effects of early life stress. 

In her spare time, Natalie serves on the board of directors of Rainbow Advocacy Inclusion & Networking Services, a 501(c)3 nonprofit that supports the LGBTQ community in Cowlitz County, Washington. She lives with her spouse and their three cats, and enjoys hiking, photography, meditation, and is an avid reader of audiobooks and scientific journals.

Mental Health

Myra Bazell, LCSW
Children & Adult Individual, Couple & Family Therapy Psychotherapist
Pronouns: She/Her

Myra Bazell

Myra Bazell is a Licensed Clinical Social Worker and received her Masters in Social Work from the Bryn Mawr Graduate School of Social Work & Social Research. Myra comes with an extensive background in dance that has provided her with an understanding of how our histories live in our bodies and provide a great resource for understanding our lived experience.

Myra is passionate about escorting clients on a journey of rediscovery; the revealing of one’s natural strength and deep-rooted source of power is for her a road to managing stress and embracing daily challenges.

Myra has been in practice for fifteen years, working with diverse populations in areas of anxiety, depression, body image, loneliness, procrastination, relationships, LGBTQ, the social and internal dynamics of aging, teen challenges, illness, PTSD and Trauma. Myra teaches mindfulness and meditation when desired and collaborates on finding motivation for change. Myra is a proponent of healthy eating and exercise as well as setting realistic goals and a sensible plan of action.

Jane A. Godfrey, Ph.D., LCSW
Children & Adult Individual, Couple & Family Therapy Psychotherapist
Pronouns: She/Her

Jane is a Licensed Clinical Social Worker with a Ph.D. in Cultural Psychology. She has 25 years of experience working with children, adolescents, adults, couples and families. She has skills dealing with blended families, cross-generational families, adoption and foster care issues, as well as expertise with the process of aging, beginning with midlife struggles and progressing to geriatric issues and end of life concerns.

In her practice she provides a safe and supportive space in which healing can begin and feels that it is a privilege to hear your life stories. She feels that therapy is relational and she is active in the therapeutic process. Jane focuses on each individual’s strengths and provides help to enhance coping skills for those who are struggling with life challenges, transitions and losses. Our lives are the greatest of mysteries and sometimes we all need help figuring out the complexities of what is happening within and around us. She will work with you to create change in your life and it is her hope to empower you to make your journey easier.

Jane has worked both with people who are experiencing the stress of every day struggles, and with those who suffer severe hardships and trauma. Often we have no control over what comes at us through all stages of our lives. Jane has vast experience working with grief and loss as it can happen to us when we least expect it. Sometimes we need assistance from outside our immediate support system to journey through the process of grieving, whatever the cause. Jane also has a special interest in working with parents to enhance their parenting skills which she feels is one of the most blessed albeit difficult and complex roles that we encounter in life.

In addition to being a therapist Jane has been a stained and fused glass artist for 40 years. Her deep appreciation of nature has led her to explore photography and enjoy the exquisite beauty of the Northwest. She finds that the creative process she uses in the arts is similar to the creative tasks of therapy; one feeds the other. In her free time Jane enjoys being with family and friends.

Maddison VanderHoff, LCSW
Children & Adult Individual, Couple & Family Therapy Psychotherapist
Pronouns: She/Her

Maddison VanderHoff

Maddison is a Licensed Clinical Social Worker and Child Mental Health Specialist who believes that each of us has the inherent strength, wisdom, and capacity to address our challenges and find happiness but that systemic barriers, traumas, losses and unresolved emotional pain may be preventing us from reaching our goals and achieving life satisfaction. Maddison provides a therapeutic environment filled with warmth, compassion, transparency, and non-judgment to collaboratively work through these barriers. She values the vulnerability and bravery it requires to begin therapy and utilizes trauma-informed practices to help clients build trust and comfort in the therapeutic relationship; she recognizes that it is an honor and privilege to join with her clients on their journey of healing and self-discovery.

Maddison has been working in mental health for over ten years, and has experience providing individual and group therapy for clients across the lifespan, with an especial fondness for working with children and adolescents. Maddison has provided treatment in a variety of settings including outpatient clinics, school-based services, a partial hospitalization program, and inpatient treatment. She provides integrative psychotherapy incorporating evidence-based interventions including CBT, DBT, and collaborative problem solving, as well as creative therapies like child-centered play therapy, art therapy, experiential therapy, and sensorimotor techniques to best serve the diverse needs of her clients. Maddison has specialized training and experience in treating mood disorders, adjustment disorders, suicidal ideation, trauma, ADHD, and sexual behavior problems. She has dedicated herself to serving at-risk youth, including providing specialized treatment for youth who have been sexually abused and who have struggled with sexual behavior problems; she has worked to educate and advocate for this population with community partners including the Juvenile Justice System.

Outside of work, Maddison spends her time practicing and honing her baking skills (including a quest for the perfect chocolate layer-cake), having impromptu living-room dance parties with her preschooler, and shamelessly reading YA fantasy novels.


Jodi Dauphinais, CMA
Clinic Manager
Pronouns: She/Her

Jodi Dauphinais

Jodi graduated from Portland Community College with her American Association of Medical Assistants (AAMA) certification and Associates degree in General Studies in 2010. Jodi has had a passion to work in the medical field since as long as she can remember. Her goal is to complete the path she started and work on getting her Registered Nurse’s (RN) degree.

While originally from the Midwest, she moved to Portland with her husband, four children, and cat in the summer of 2004. When she is not working Jodi enjoys various outdoor activities such as camping, snowboarding, hiking, running and exploring the city.

Jacob Aiello
Accounts Manager
Pronouns: He/Him


When away from Hands On Medicine Jacob Aiello writes creative nonfiction, and in 2018 he received the Oregon Arts Commission Fellowship in Literary Nonfiction from Literary Arts. He has a degree in Literature from Portland State University with a Minor in Professional Writing, and counts among his other hobbies playing Scrabble with friends, cooking, and riding his bicycle.

He grew up in a small town in Northern California and experimented briefly with Texas, but has been happily residing in Portland since 2004, where he lives with his wife, two dogs, and three cats.

Superstar Staff

April Lloyd
Lead Medical Receptionist
Pronouns: She/Her

April Lloyd

April Lloyd went to Concorde Career Institute and graduated and received her Medical Assistant Certificate in October of 2008. She worked as a Medical Assistant for seven years before leaving to take care of a quadriplegic family member following a tragic accident. Born and raised in North/Northeast Portland, April loves helping others, spending much time with family, swimming, traveling, reading and trying new things.

Madison Bailey
Certified Medical Assistant
Pronouns: She/Her

Madison Bailey

Madison was born and raised in the Portland area and has been working in the healthcare field for four years as a CNA. She decided to go back to school and become a Medical Assistant, where she found Hands On Medicine. In her free time she likes being outside, whether it’s a hike or laying by a pool. She also enjoys binge-watching the newest Netflix shows.

Hilary F
Clinic Float
Pronouns: She/Her

Hilary Flaming

Hilary grew up in the Pacific Northwest and started her career as a Medical Assistant 17 years ago. She then transitioned to home health care and hospice for many years. Hilary was inspired to go into healthcare by her dad, a retired D.O. in Oregon. She is a recent graduate of Portland Community College’s Medical Assistant program, where she was first introduced to Hands On Medicine. Hilary has enjoyed taking care of patients in every stage of their lives.

In her free time, Hilary enjoys spending time with her family on the Oregon coast and finding the newest song to sing.

Sharon Mulloy
Patient Care Coordinator
Pronouns: She/Her

Sharon Mulloy

Born and raised in the Northwest, Sharon attended PCC and Pacific NW College of Art. Her varied customer service background includes stints at the public library, catalog retail, an artisanal chocolatier, and over a decade of experience in specialty and Internal Medicine clinics, including the patient-centered medical home model.

As an avid organic gardener and longtime resident of Northeast Portland, she lives under the benevolent dictatorship of two cats. In addition, Sharon pursues interests in baking, embroidery, and historic preservation.

Triston Foster
Administrative Assistant
Pronouns: She/Her

Born and raised in the Pacific Northwest, Triston left her family farm in Eastern Washington and moved to Portland in 2015. She attended Portland Sate University and earned a BA in English and a BFA in Creative Writing.

In her free time, she can be found writing short stories, watching old movies, and telling bad jokes.