Cory spent 17 years as a labor and delivery nurse before becoming a nurse practitioner. Her practice now centers on perimenopause, menopause and postpartum care for women in Washington and Oregon. It is a small self-pay practice in Vancouver with visits in the office or by video. Labs are ordered through Quest before the first visit and are included in the consult fee, so the hour-long first appointment goes to reviewing results and building a plan. Ongoing care runs through six-month hormone programs with set follow-ups and portal messaging, or a maintenance plan with visits and labs twice a year. She does not do Pap smears, pelvic exams or IUDs, so you keep your own gynecologist for those.
A solo women's health nurse practitioner practice in Vancouver seeing patients across Washington and Oregon, with particular depth in perimenopause and menopause, sexual medicine and vulvar dermatology. Care runs on a monthly membership with a three-month minimum. The first visit lasts 90 minutes and can be in person or virtual, later visits run an hour, and you can message her in between. The practice is notably consent-forward about examinations, asking for verbal consent at each step and offering a chaperone, a partial exam or none at all, and does in-office microscopy and vulvar biopsy.
Dr. Hanan founded Prevail Wellness Center and is both a naturopathic physician and an acupuncturist, so some patients get acupuncture as part of their care. The clinic centers on perimenopause and menopause, and it also treats thyroid problems and midlife weight change. The first visit is a long conversation about symptoms and history, with labs ordered only when they will help, and you leave with a clear plan. She prefers FDA approved hormones and uses a compounding pharmacy when a patient needs a dose or form those products don't offer. Before opening the clinic she worked as a primary care doctor in integrative clinics. New patients can book online, and visits can be done by video for anyone living in Washington or Oregon.
Cascade Functional Medicine is the Vancouver practice her father started in 1988, and she joined it in 2008 as his youngest daughter. She leads the functional medicine side, where hormone problems get worked up alongside gut health, micronutrient status and metabolism rather than on their own. Hormone testing here leans on dried urine panels instead of blood, because she wants to see cortisol across the whole day and how estrogen is broken down. When hormones are indicated she has them made by sterile compounding pharmacies, and she runs a supervised weight loss program that tracks body composition so patients on GLP-1 medication keep their muscle. The same office also does aesthetics, FAA flight physicals and immigration exams, so it is a small general practice rather than a menopause-only clinic. Refills need an office visit, the office will not take refill requests from a pharmacy, and a card is kept on file for late cancellations.
