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Powerful Healing.
Outstanding Results.

Vancouver, WA – East

Contact Info

1900 NE 162nd Ave
Suite B-101
Vancouver, WA 98684
Phone: (360) 567-0633
Fax: (360) 567-0635

Clinic Hours

  • Monday 7:30 AM - 6:30 PM
  • Tuesday 7:30 AM - 6:30 PM
  • Wednesday 7:30 AM - 6:30 PM
  • Thursday 7:30 AM - 6:30 PM
  • Friday 7:30 AM - 6:30 PM
  • Saturday Closed
  • Sunday Closed

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Vancouver, WA – East ProActive Physical Therapy Specialists

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    Ryan Nall, PT, DPT, Clinic Director

    Ryan NallPT, DPT, Clinic Director

    Ryan Nall, PT, DPT, is a physical therapist and the East Vancouver Clinic Director. He is also a Partner in ProActive Physical Therapy Specialists.

    Ryan graduated from Oregon State University with his Bachelor of Science degree in 2004 and Pacific University with his Doctor of Physical Therapy degree in 2008. He is certified in ASTYM to treat chronic or acute soft tissue and joint conditions.

    Ryan enjoys treating any and all sprains, strains, aches, and pains, but specializes in spine, shoulder, foot/ankle, and work related conditions. Ryan prides himself on really getting to know each of his patients and working alongside them to come up with solutions on improving pain and activity tolerance so they can better enjoy life!

    When he’s not in the clinic, Ryan enjoys spending time with his 2-month-old son Mason, beautiful wife, Rheba, and 15-year-old daughter Haley. While family is the center of his universe, he also enjoys gardening, longboarding, and exploring the great outdoors that the Pacific Northwest has to offer. Ryan is very passionate about ProActive and physical therapy as a profession. To him it is the best job in the world because “people enter the clinic as patients and leave as friends.”

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    Tessa Kush, PT, DPT, AIB-VR/Con

    Tessa KushPT, DPT, AIB-VR/Con

    Tessa received her Doctor of Physical Therapy degree from Boston University in Boston, Massachusetts. The Pacific Northwest is home for her, however, having grown up on the Olympic Peninsula and attending the University of Washington for her undergraduate education.

    Tessa enjoys treating individuals with neurological conditions specifically, vertigo, concussion, and balance impairments. She is certified in Vestibular Rehabilitation and Concussion by the American Institute of Balance and is ProActive’s expert in vestibular dysfunction and cortical injury. She also enjoys treating orthopedic conditions of the spine, shoulder, and lower extremity in individuals of all ages.

    When she is not in the clinic, Tessa enjoys staying active running, playing tennis, and exploring the outdoors. She also enjoys traveling, experiencing new foods, and cooking. She is excited to join the ProActive family and Vancouver community and share her passion for physical therapy and health.

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    Cliff Stanford, PTA, CKTP

    Cliff StanfordPTA, CKTP

    Cliff Stanford, PTA, CKTP, is a physical therapist assistant in our East Vancouver clinic.

    Cliff graduated from Mt. Hood Community College with his Associate of Applied Science degree in Physical Therapy. He is a member of the American Physical Therapy Association, the Oregon Physical Therapy Association, and the International Kinesio Taping Association. His areas of specialization include orthopedics, manual therapy, and functional rehabilitation with a focus on injury prevention, performance improvement, and running rehab. Cliff has achieved Recognition of Advanced Proficiency for the Physical Therapist Assistant in Musculoskeletal Physical Therapy, is certified as a Kinesio Taping Practitioner, NASM Personal Trainer, Corrective Exercise Specialist, and Sportsmetrics Trainer.

    Outside the clinic, Cliff enjoys recreational running, participating in local and national 5K, 10K, and ½ Marathon events. He also hosts a weekly radio program based in Portland that focuses on the local music scene, and is the host and producer of the Klyph Notes podcast.

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    Pamela Earl, LAT, ATC

    Pamela EarlLAT, ATC

    Pamela Earl, LAT, ATC, is a Certified Athletic Trainer and the Head Athletic Trainer at Evergreen High School.

    Pamela is a Washington native and graduated from Eastern Washington University with a degree in Athletic Training in 2015. After graduation, she worked with Lakes High School in Tacoma, WA.

    She is a 2011 graduate of Evergreen High School and is excited to be back in her hometown. She enjoys spending her free time with her family and playing recreational sports.

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    Andy Goss, LAT, ATC

    Andy GossLAT, ATC

    Andy Goss, LAT, ATC, is a Certified Athletic Trainer and the Head Athletic Trainer at Heritage High School.

    Andy graduated from the University of Vermont with double degrees in education and athletic training. Since graduating, Andy has worked exclusively in the high school setting as both a teacher and athletic trainer. He was involved with the Washington State Athletic Trainers’ Association support in developing and passing the “Lystedt Law” regarding education and management on sports related concussions.

    Andy enjoys spending his free time with his wife Kayla, and his two sons, Brady and Riley.

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    Grace Middelstadt, LAT, ATC

    Grace MiddelstadtLAT, ATC

    Grace Middelstadt, LAT, ATC, is the Head Athletic Trainer at Mt. View High School.

    Grace graduated from Linfield College with her degree in Athletic Training in 2016. A Washington native who attended Prairie High School, she is excited to be working in and around her lifelong community.

    In her free time, Grace enjoys hiking, backpacking, traveling, and spending time with family and friends.

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    Caroline Shaw, LAT, ATC

    Caroline ShawLAT, ATC

    Caroline Shaw, LAT, ATC, is the Head Athletic Trainer at Hockinson High School.

    Caroline graduated from the University of Miami with a degree in Athletic Training in 2018. She grew up in Alexandria, Virginia, just across the Potomac River from Washington, DC.

    In her free time, Caroline enjoys backpacking, skiing, and hanging out with her Australian Shepard.