Guiding your individual transformation from within

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What’s New?

Dr. Rhea Abbott is our newest naturopathic doctor! She has a general family practice with a focus on pediatrics and women’s health. Schedule your free 15 minute consultation with her today!


Hannah is amazing. Very helpful with meal planning and alternatives for the every day meals. She is working with my entire family – husband, two daughters under 10 and me!

- Karen

After my first visit with Dr. Shah, I’m feeling very relaxed and confident, and looking forward to working on my thyroid/hormone issues with her.  Dr. Shah looked through my labs and immediately saw deficiencies that related to my symptoms, had suggestions for what could help, and ideas to pursue for what might be causing them. She was very helpful with both my health and insurance/finance issues, and quite easy to talk to. Highly highly recommended!

- Lindsey

That’s the best I have been in years, thanks to Dr Shah!

- Carol

Dr. Shah is amazing! So caring, thorough and willing to do what it takes. She is very prompt and willing to answer questions and return call/emails!

- Sara

I found Hannah to be very thorough in her review of my history and current nutritional practices. She provided specific recommendations to address my particular concerns, and gave supporting explanations that were clear and easy to understand. She accommodated my food preferences and pre-existing nutritional opinions with her recommendations, making it easier for me to consider adopting them. I’m looking forward to implementing her recommendations to address my concerns.

- Bill

Dr. Shah takes the time to listen and is very professional, I think she is awesome!!

- Kathy

I have worked with Hannah for over 8 years. She started me on my journey to eating healthy and in eliminating processed food and gluten from my diet. Continuing to work with her I have learned the latest in nutritional ideas, recipes and she helps keep me on track! She is a wonderful support!

- Diane

I have been disappointed in my past/previous doctors, they would see me for a matter of 5-10 minutes… Very frustrating, and it felt like I was mostly ignored and sent on my way after they collected my money. This doctor however is totally different! She spent an entire hour talking with me, checking me out, listening to all my current health concerns and running tests to determine what exactly is going on. I feel much more confident in Dr. Shah than any of my previous doctors. I wish I had found her years ago!! Do not hesitate to go see her, if you are debating just go! You won’t regret it!!

- Alicia

I have been working with Hannah for about a year and she continues to search for new and helpful ways to help me with dietary changes and supplements. Hannah also is very responsive to my schedule and physical challenges.

- Tom

I have been a huge fan of Rian Shah since our first meeting. I believe she is the best health care partner for me.

- Deborah

Finally found someone who instills confidence in me that she knows her stuff. All my complaints that I have had for years have been corrected in just a few weeks. I’m so thankful I found Dr. Shah and that she is in Issaquah. Although I’d travel much farther to be under her care. She’s awesome.

- Teesha

Dr. Shah is compassionate, knowledgeable and incredibly down to earth. Office visits feel like visiting with an old friend who happens to have a wealth of knowledge (and a prescription pad!) I would (and have) reccomend her to absolutely anyone.

- Bethany

Dr. Shah is warm, knowledgeable, caring, prompt and just really wonderful. I’m not the quickest person to warm up to, but she patiently guides me along, listens carefully and genuinely looks out for my best interest. I really appreciate that I never feel judged by her – just cared for. She’s a great doctor and I’m very happy that I found her.

- Bethany

I am so grateful to Dr. Shah for listening to me and working with me to solve my health issues. She is patient, knowledgeable, thorough and kind. She gets results too! I am 20 lbs. lighter with TONS more energy than when I first went to see her. Vibrant health is an ongoing process and I am so happy I have found Dr. Shah!

- Jaycee

Once again, Dr Shah was attentive, intuitive, and comforting. We have never met a doctor with her compassion. Always willing to explore all medical avenues. This is from two people who spent a total of 45+ years of working in hospitals.

- Linda

I worked in the medical profession and have high expectations for what it means to be a fine physician. Dr Shah meets those expectations. The best of the profession are really smart people who haven’t let their egos get in the way, they are open to new ideas and have the a curious nature that drives a need to know more and find new and innovative ways to help their patients. Thank you Dr Shah for doing all of this and for becoming a friend as well.

- Linda

I loved everything about my first visit to Dr. Shah’s office, from the front desk to the blood draw. Dr. Shah was very patient and thorough – totally non-judgmental and encouraging. I feel as if I’m in great hands! Absolutely recommend!

- Bette

Dr. Shah is the first doctor who has really listened to me and who truly understands. I feel like she is my partner in good health and I really needed one. Thanks to her my Hormones are balanced, my insomnia gone and my whole family is happier!

- Susan

Hannah is very nice to work with.  I will continue to work with her in hopes to achieve my goals in 2014.

- Robin

Dr. Shah has the best bedside manner. She exhausts every option and doesn’t rest until she solves my medical issues and does so with true empathy! She is always timely, extremely thorough and I always feel comfortable talking to her about anything!

- Susan

What is Integrative Medicine?

Integrative medicine is the practice of evidence-based medicine that places emphasis on the doctor-patient relationship and addresses medical conditions in a multidimensional fashion, taking into account both physiological and psychological...more


Why Cascade Integrative Medicine?

Cascade Integrative Medicine is a place where patients can know that the clinicians they’ve entrusted with their health care are there for their best interests and those interests alone, where...more