About Us

We like to share the beautiful moments in life with you, so here is a link to a photo gallery we update on occasion.

Featuring: Landscapes, Pups, Goats, Chickens, & Veggies

We like to share the beautiful moments in life with you, so here is a link to a photo gallery we update on occasion.

Featuring: Landscapes, Pups, Goats, Chickens, & Veggies

Portrait of Joann


Education: I have trained as both a Family Nurse Practitioner (Florida Atlantic University) with a minor in Gerontology, and Psychiatric Mental Health Nurse Practitioner (State University of New York). I completed my Doctorate (Case Western Reserve University) in 2010 with a focus on mental health barriers for children in rural health communities. I completed a Masters in Metabolic and Nutritional Medicine (University of South Florida) in 2013. Obtained Certification in Pharmacogenomics from University of Colorado in 2018 which has served to further enhance my personalized medicine approach. I continue to obtain certifications in specialized areas of interest that enhance my ability to provide the most up-to-date care.

Experience: I have 35 years’ experience working in healthcare in many different settings both inpatient and outpatient, my patient’s range in age from 4 to 99. I have been in private practice in Ashland, Or since 2014. Prior to Ashland I was in private practice in South and Central Florida

Clinical Focus: I become frustrated with the cookie-cutter treatments that were being offered in today’s healthcare environment, thus my pursuit for additional more encompassing education to assist people in healing. I operate under a humanistic* philosophy, which means I use whichever modality best fits your needs. I incorporate a functional, integrative, and regenerative approach that includes finding, then treating “causes” rather than “conditions”. This requires very specific education and experiences, which I have attained over the past 35 years. My goals are to get a complete picture of your symptoms through various modalities, educate you, and become your partner in improved health.



Lauren started her career in the medical field at the young age of 17 as a nursing assistant and medication aide. She worked in various settings including long term care, nursing homes, and hospital settings while pursuing her nursing degree. She obtained her Licensed Practical Nurse (LPN) certificate in 2015 and quickly realized she had more potential as a healthcare provider. While waiting to get into a nursing program, she completed her Bachelor of Science degree in Psychology from Southern Oregon University (SOU) in 2016. She pursued her Registered Nurse (RN) degree from College of the Siskiyous in 2018 and obtained her Bachelor of Science in Nursing (BSN) from Boise State University in 2019. She has worked at Asante Ashland Community Hospital since 2014 in various departments including medical/surgical, ICU, and nursing supervisor, but found her passion in the emergency department. She has worked as an ER nurse for the last few years through the COVID pandemic while navigating graduate school. Lauren has seen the impact her mother has had on her patients and the leadership skills she possesses as a Doctor in Nursing and wanted to accomplish the same dream. Lauren graduated from the University of Portland’s Doctor of Nursing Practice with focus in Family Nurse Practitioner (DNP-FNP) program in May 2023. She is board certified through the American Academy of Nurse Practitioners and is a member of the American Academy of Emergency Nurse Practitioners as well. She works full-time as an emergency room nurse practitioner at Asante Ashland Community Hospital and will be working with Ashland Integrative Care as a primary care provider. She has an interest in functional medicine, alternative therapies, supplements, and genetics and will be pursuing further education related to those topics. She has worked in the office in different capacities for most of her life is excited to finally be able to provide services to our patients as a provider.

“It is far more important to know what person the disease has than what disease the person has. 



Hello! My name is Erin Puente, and I have worked for Joann for about 7 years now. I live in Washington, but love getting to work with everyone at Ashland Integrative Care from a distance. I have 2 dogs that I love very much and keep me very busy! I love to read and explore, and will always consider Ashland one of my homes as I went to college at SOU and lived there for 6 years of my life!


I am a Certified Medical Administrative Assistant with an Associate of General Studies. I love my job, meeting new people and making sure they have the best experience possible. When I’m not working I’m usually reading a good mystery or walking my two dogs Ruby and Lily. My husband Larry and I have two grown sons, both living in Portland.

Portrait of Dr. Kaffie

Dr. Kaffie Clark, DHS, LMHC, CAP, CT

“Dr. K” has a Doctorate in Human Sexuality and is licensed as a Mental Health Counselor. She has been providing behavioral health services since 1997. Dr. K is a Sexologist, Certified Addictions Specialist, and a Certified traumatologist. She is passionate about helping anyone who is willing to accept the challenge and become the best version of themselves.

Brandi and Emma

Official Ashland Integrative Care therapy dog, Brandi was rescued from Texas through Western Australian Rescue where she was found on a construction site abandoned with her Mom her older sister and her 5 siblings. Brandi was being transported to Oregon when the van she was in was hit and totaled. Luckily, she was taken in by a kind family who was adopting one of her siblings and held in Missoula Montana for 2 days. She was then flown to Portland with Pilots and Paws a great organization that rescues dogs and we drove up to get her. She had a injured leg thus she came to work with Joann and the rest is history.

Four months after the adoption of Brandi the rescue Group rescued this baby girl from a kill shelter in Texas along with her Mom and 2 siblings. She needed a forever home and Brandi needed a 4 legged sibling, so we adopted Emmalee and she has also joined the Ashland Integrative Care team.