Membership-based primary care • Washington • Now accepting founding members
Appointments start October 5th 2026Get a doctor
who knows you.
Inclusive, LGBTQ+-affirming primary care in Spokane, WA, for every body and anyone who's felt like an afterthought in the healthcare system. Membership includes HIV care, PrEP, and gender-affirming hormone therapy, with more time, easier access, and a doctor who knows your history.
- All visits includedSee me when you need care, at no extra charge.
- Same- or next-day schedulingUrgent needs seen fast, routine visits within the week.
- Direct call/text accessReach me directly between visits.
- Discounted labs & medicationsOften lower than your insurance copay.
- No copays, no hidden feesYour membership is the whole cost.
- Locally owned & independentCare rooted in the Spokane community.
Time, trust, and access at the center of your care.
Your membership goes directly to your care — not to billing insurance. That means more time during appointments, no waiting months for a visit like you would with a typical PCP, and a lasting relationship with a physician who specializes in LGBTQ+ health, HIV care, and gender-affirming hormone therapy for the Spokane community.
I provide evidence-based, trauma-informed, neurodivergent-affirming, and weight-inclusive care, with a focus on listening carefully, understanding what matters to you, and helping you make informed decisions about your health.
Start with a conversation.
Meet
Schedule a free intro call to talk through what you need and whether Oropeza Health is the right fit for you.
Join
Choose the membership option that fits you. Every membership tier includes the same excellent care.
Begin
Complete enrollment and schedule your first comprehensive visit to get a doctor who knows you.
Care built around relationships — with direct access to your physician
Enjoy longer appointments with time to address your concerns—not just the first one on the list. Your membership includes unlimited visits with no copays, plus access to discounted laboratory testing and prescription medications.
Whether you prefer secure messaging, phone, video, or in-person visits, I'll work with you to find the approach that best fits your needs. Many concerns can be managed remotely, and when you need an appointment, I'll see you promptly. When your care extends beyond Oropeza Health, I'll help coordinate referrals and collaborate with your specialists and other members of your care team.
Oropeza Health is located in Spokane, Washington, offering in-person care locally and virtual care to patients throughout Washington state.
Specialized care, one practice
Ask about a specific needPrimary Care
- Preventive care and wellness visits
- Annual physicals
- Sports & employment physicals
- Acute illness and injury care
- Chronic disease management — diabetes, hypertension, asthma, and more
- Gender-affirming care
- LGBTQ+ inclusive care
- HIV treatment
- Mental health care and medication management
- Coordination with specialists
Sexual Health
- HIV prevention (PrEP and PEP)
- STI screening and treatment
- Hepatitis B and C treatment
- Contraception counseling
- Queer family planning and fertility counseling
- Sex-positive, kink-aware care
- IUD & Nexplanon placement and removal
Substance Use Treatment
- Opioid use disorder treatment
- Alcohol use disorder treatment
- Benzodiazepine use disorder treatment
- Harm reduction
Controlled substance policy: We do not stock controlled substances in the office. We do not prescribe chronic opioid therapy or benzodiazepines for long-term use. When appropriate, we’re happy to coordinate care with pain medicine and other specialists.
Office Procedures
- Joint injections
- IUD & Nexplanon placement and removal
- Incision and drainage of abscesses
- Laceration repair (stitches)
- Toenail removal
- Wart treatment
- Ear wax removal
- Skin tag removal
- Cryotherapy
- Skin biopsies (coming soon)
Weight-Inclusive Care
- No routine weigh-ins
- No discussion of weight unless you want to have one
- Personalized, evidence-based care
Your body is not a problem to be fixed. We’ll focus on improving your health through evidence-based care tailored to your goals — not on achieving a particular weight.
We take care of us.
All memberships include the same medical care. The only difference is how the cost is shared across our community.
See membership pricingPrimary care, built around relationships.
I'm Dr. Amanda Oropeza (she/they), a queer, board-certified family physician with expertise in HIV prevention and treatment, LGBTQ+ health, and comprehensive primary care.
My practice is rooted in evidence-based medicine, shared decision-making, and long-term relationships — with the time to truly get to know you.
You do not need to edit your identity, the way your brain works, relationships, body, family structure, sexual health, gender, or life experiences to receive respectful healthcare. That's the standard here.
Whether you're looking for a primary care physician for the first time or seeking a different kind of healthcare experience, I'm glad you're here.
Questions people ask first.
What is Direct Primary Care (DPC)?
Direct Primary Care (DPC) is a membership-based approach to primary care. Instead of billing insurance for office visits, you pay a monthly membership fee that covers most of your primary care.
This allows me to care for a much smaller number of patients than a traditional primary care practice. In turn, you'll have access to longer appointments, easier access to your physician, and care that's built around a relationship—not insurance billing requirements.
Who can become a patient at Oropeza Health?
At this time, I provide care for patients ages 12 and older.
Whether you have private insurance, Medicaid, or no insurance, you're welcome here. Oropeza Health is open to anyone looking for a more personal, relationship-based approach to primary care.
At this time, I'm not providing care for children under 12. If you're looking for care for a younger child, let me know—I'd love to hear if there's interest.
While I have expertise in LGBTQ+ health, the practice is open to anyone who values respectful, evidence-based, personalized care.
I'm not currently legally able to care for patients who have Medicare.
Why don't you take insurance?
Health insurance plays an important role in covering major medical expenses like hospitalizations, emergency care, surgery, specialist visits, and advanced imaging. I generally recommend that my patients carry health insurance to protect themselves against those unexpected events.
For primary care, though, I believe there's a better way.
The traditional insurance model often rewards shorter appointments, larger patient panels, and more time spent on documentation than on patient care. That's not how I want to practice medicine.
By working directly for my patients instead of billing insurance, I'm able to spend more time with you, keep my patient panel small, offer easier access between visits, and build the kind of long-term relationship that's at the heart of good primary care.
Because my decisions aren't driven by insurance billing requirements, we can focus on what the best available evidence says—and on what matters most to you. Together, we'll make thoughtful, informed decisions about your health without unnecessary barriers or rushed visits.
You can still use your health insurance for care outside Oropeza Health, including specialist visits, imaging, hospital care, and many prescription medications. I'll help coordinate your care whenever needed.
Ready when you are.
Choosing a new primary care physician is a big decision. Let's start with a conversation. We'll discuss what you're looking for, answer your questions, and see if Oropeza Health is the right fit for you.