What We Do

Hospital Care

We provide care for our hospitalized patients at Legacy Salmon Creek Hospital and PeaceHealth Southwest Medical Center. In the event that your child needs inpatient care at one of these hospitals you will have the peace of mind that your child will be seen by one of our pediatricians, and whenever possible, your primary pediatrician.

Behavioral Issues and Mental Health

We screen and care for children with a broad variety of behavioral and emotional concerns, from very early childhood through adolescence. Some of the most common conditions we treat include Attention Deficit/Hyperactivity Disorder (ADHD or ADD), anger management, anxiety, depression, and eating disorders. We often partner with pediatric psychiatrists, behavioral specialists, or therapists. Medication and non-medication therapies may be used.

Autism Spectrum & Developmental Disorders

As of March, 2012, one in 88 children (about 1% of children in the U.S.) has been diagnosed with an autism spectrum disorder. Autism Spectrum Disorders refers to a range of closely related developmental disorders. Three major areas are affected: social interaction, communication and repetitive patterns of behavior. Early detection and treatment is crucial. At 18 and 24 months we screen toddlers for early signs of Autism. You know your child best. If you have concerns about your child’s development, including Autism, please bring this to your pediatrician’s attention.
We work closely with developmental pediatricians and behavioral specialists to come to the right diagnosis and develop the best plan for treatment.

Asthma Care

Our clinic prides itself on providing state-of-the-art asthma care for patients who have recurrent wheezing. We utilize validated assessment tools to monitor and categorize a child's asthma, allowing family and doctor together to select a regimen that fits a child's needs. In addition, we use spirometry (a computerized measurement of lung function, often including exercise testing) to fine-tune a patient's treatment program. Addressing the triggers for wheezing is central to our care of children with asthma. The last twenty years have brought tremendous advances in the care of asthma, and no child's activities should be limited by this condition.

Your Child’s Medical Home

At Evergreen Pediatrics the “illness care” we offer your child is just the tip of the iceberg. We have embraced the Medical Home Model, which implies holistic care for your child’s emotional, physical, cognitive and social development—focusing essentially on wellness. This model of care incorporates personal attention from a primary pediatrician who can provide continuity of care for your child. Further, the medical home necessitates access when you need it, exemplified by our 24 hour phone care, and extended weekday and weekend morning hours.
In addition, our electronic medical record seamlessly links both our practice locations at the Legacy Salmon Creek and PeaceHealth Southwest sites. This allows all patients to be seen at either office, with complete access to their medical record. For your convenience, prescriptions can be electronically transmitted to your pharmacy from the exam room, and are often ready when you arrive at the pharmacy.
A medical home should emphasize state-of-the-art, evidence-based, pediatric care with continuous quality improvement. With this in mind, we collaborate in quality of care initiatives with other independent pediatric-only practices in the metro area. Our clinic is especially proud of the work we have done in optimizing the care of our patients with asthma, and assuring vaccination for our patients.
We are dedicated to the care of the infants, children and adolescents of Clark County—this is our mission, and it is all we do. All of us work extremely hard in this endeavor, which we consider a privilege--the care of your child.

What is a Pediatrician?

In addition to the successful completion of medical school, pediatricians complete three years of intensive specialized training in the care of patients from birth through adolescence. Pediatricians maintain certification through the American Board of Pediatrics, and only then are eligible to become Fellows of the American Academy of Pediatrics (FAAP).

Educating Future Doctors

Drs. Cuneo, Rapp and Voytas participate in the education of family practice residents (doctors-in-training) of the Family Medicine Southwest Residency Program, an affiliate program of the University of Washington School of Medicine. If your child is seeing one of these pediatrician-educators you may have the occasional opportunity to be seen by the doctor-in-training and then your regular doctor. This will always be your choice and is never mandatory. Medical decisions are always made by the Evergreen pediatrician you are seeing.

Drs. Cuneo, Rapp and Voytas hold faculty appointments at the University of Washington School of Medicine.