Pediatric medicine


Although Dr. Keller has and continues to educate herself in many different medical modalities and specialties (she’s now triple board certified), providing excellent, astute, and compassionate pediatric care will always be the cornerstone that Dr. Keller’s passionate practice is built on.

Trained at Seattle Children’s Hospital, Dr. Keller received a strong foundation in taking care of acutely ill children, chronically ill children, and children in emergency settings. Working in community pediatrics for almost 20 years now, she has mastered helping couples evolve into effective parents and educating and supporting families in navigating developmental challenges.

Dr. Keller’s desire to get to the central cause of an illness or challenge in her patients is what has driven her to continue her education into how the body works and how to help it really heal.  This has lead her to become specialized in integrative medicine as well as regerative and antiaging medicine (chronic illness/or chronic wellness begins in childhood!). Dr. Keller marries these pediatric skills, compassionate guidance and counseling with her cutting edge understanding of getting at the underlying cause of illness into her practice here at Centered in Wellness, making her one of the most sought after Pediatric physicians in the area.

 Naturopathic Medicine


We pride ourselves in being able to offer Naturopathic care to our patients that is integrated with conventional functional western medicine practices at the highest level.  This perfect marriage of both Eastern and Western medicine approaches provides our patients with a highly customized and effective healthcare experience. Our team of doctors all work together, often reviewing patient cases in grand rounds and co-managing patient care. This comprehensive care is provided by: Dr. Viv Ramos,ND, ARNP, Dr. Passic, ND, MsAY, Dr. Paul Despres, ND, and rounded out by Andreanna Rainville, RN, CN.

Dr. Passic is a Naturopathic doctor and an Ayurvedic medicine practitioner (a very unique combination) and Dr. Ramos is a board certified family medicine ARNP in addition to her Naturopathic doctorate. This extensive, dual track training gives them a vast skill set to draw from when treating otherwise complicated cases. Passionate about the foundation natural medicine is built on, they always treat the individual first, focusing on the root cause of chronic diseases such as: thyroid disorders, adrenal fatigue and hormone imbalance, Crohn’s and Ulcerative Colitis, cardiovascular disease, diabetes, anxiety, depression, rheumatoid arthritis, parasites and co-infections, and mast cell disorders, but integrate the use of prescription medicine and Western medicine modalities when appropriate.

Your first new patient appointment with our ND's will be anywhere from 60-90 mins during which your doctor will review your complete health history, target your health goals and needs, and start to create a customized treatment plan for you, including ordering lab work, imaging, or special testing they may recommend.

Naturopathic Physical Medicine

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Osteopathic manipulations

Our ND’s perform spinal and extremity manipulations in the form of osteopathic manipulations. This is similar to a Chiropractic adjustment, using both high velocity and low velocity manual adjustments to the spine and extremities to restore proper alignment to the musculoskeletal system. Adjustments may be helpful in cases of chronic pain and/or acute injury.

In cases where a patient may be hypermobile or sensitive to high velocity manual adjustments, our providers can utilize the activator to adjust your spine, which is a more passive form of manipulation.

First time osteopathic adjustment appts are 30 mins or more and a brief health history intake is done and a physical examination is performed. If an adjustment is indicated it can be done on the same day as the initial evaluation. 


Massage Therapy

Our LMP and both of our Naturopathic doctor’s are highly skilled in the modalities of: myofascial release,  trigger point therapy,  Swedish, Neurofascial Therapy,  deep tissue, lymphatic drainage, and pregnancy massage.  Massage therapy is effective for a variety of ailments including: chronic pain and fatigue, detoxification, migraines, TMJD, Sciatica, anxiety/depression, acute injuries and accidents, and known postural issues such as scoliosis.  

If it is your first time seeing our LMP a massage referral is required from your doctor. Our doctor's are happy to see you to write you a referral if you do not already have a treating doctor that is recommending therapy.



Constitutional Hydrotherapy

This is a hallmark therapy used in Naturopathic medicine that works to regulate and boost the immune system. Wet towels at various temperatures are placed over the abdomen and then electrical stimulation is introduced through the use of sponge pads. All of these things work together to essentially create a “pump” for your lymphatic and circulatory system. This results in powerful detoxification at a cellular level, making it perfect for detoxing from toxic chemicals and environmental stressors. The end result introduces freshly oxygenated blood back into your blood stream and revitalizes your system as a whole.


Craniosacral Therapy (CST)

CST is a very gentle, passive, yet highly impactful form of therapy that manipulates the bones of the cranium in order to restore balance and reset the central nervous system.  It is indicated for patients that cannot tolerate or are not receptive to traditional massage therapy or high impact spinal manipulations. Treatments are tailored to the needs of each individual patient and their response to treatment so appointment times may vary anyhwere from 15-60 mins.

Visceral Manipulation

Visceral manipulation is performed as a series of gentle manual forces to the body’s organs and connective tissues, allowing the systems of the body to work optimally. This alleviates such things      as constipation, GERD, sciatica, chronic pelvic pain, scar tissue, pain from fibroids and cysts, and even symptoms related to PTSD or emotional disorders. 


Neurofeedback, also known as ‘brain biofeedback’ or ‘EEG biofeedback’, is a therapy that is non-invasive and gentle, yet can have profound results.  It functions by having the brain’s activity “listened to” using electrodes (like mini sensors). The brain is taken through a series of exercises while the patient watches a visual aid, like a movie, with the goal to teach the brain to behave in a coordinated, “healthy fashion.” This is taught through sensory feedback, such as vibration while holding a stuffed animal, sound quality, and picture depth that is adjusted to relay either a “reward” or a “failure.” The patient just needs to sit and enjoy the  movie while the brain works out in this fashion, as you cannot “make” your brain be coordinated consciously.  With repeated sessions, the brain re-wires and we see remarkable, lasting changes in behavior and neurologic functioning.

We have been using Neurofeedback as a healing modality for over 6 years now, and the changes we have seen have been profound.  The plasticity of the brain, and the body’s ability to heal with this modality is truly unending.


The following is a partial list of conditions neurofeedback has been shown to effectively treat:



 •Learning Disabilities

•OCD- Obsessive Compulsive Disorder

•Panic Disorders

•PTSD-Post Traumatic Stress Disorder

•Social Anxiety






•Chronic Fatigue

•Chronic Pain


•Trauma; including traumatic brain injuries


Biofeedback - Heartmath 

Heartmath is a training method provided in our clinic by Dr. Paul Despres, ND that teaches techniques and tools for use in day to day life to increase personal coherence.  
Personal coherence, refers to the synchronization of our physical, mental and emotional systems. The amount of this synchronicity can be measured by our heart-rhythm patterns, and then feedback is given about how “well” this is being achieved. The patient is then taught to use this feedback to alter their thoughts/breathing/being to optimize the time in a coherent state.  The goal is to spend more and more time with balanced and smooth heart-rhythm patterns.  
When more time is spent in this coherence, stress levels recede, energy levels increase and our brain and our heart work together for optimal functioning. 
This coordinated functioning of the brain and heart promotes a state of optimal clarity, perception and performance.

Dr. Paul uses a combination of in-clinic Heartmath training sessions, lifestyle counseling, and “homework” of practicing the techniques in real life to gain optional results.  He has found this combination is an effective way to help the patient incorporate this modality into their day to day lives for optimal and lasting results.

Low Dose Antigen Therapy (LDA)

The normal course of treatment is also much less time intensive than regular allergy injection courses, with a typical patient receiving a dose every 2 months for a period of 12 months. 

If LDA is going to work we usually know very early on, with over 60% of patients noting a significant positive response with their first treatment.  If no response is noted by the 3rd treatment, we generally need to re-evaluate the situation. The overall response rate for all conditions treated with LDA is approximately 65-95%, depending on the condition being treated.  

LDA/LDI is a therapy that helps to  treat allergies. It works to “turn off” ones reaction to misidentified antigens in the body. This  happens through a process of administering a very diluted dose (usually 1 part in 10 million to as low as 1 part in 1 quadrillion) of multiple antigens such as, foods, chemicals, inhalants, and  even antibodies together with an activating enzyme. LDA is usually administered orally. This is extremely helpful in treating children that may be adverse to needles.

Due to the extremely low dose that is required in order for LDA to be effective, side effects are rare, making this an ideal treatment for patients with high levels of sensitivity or multiple allergies. 


Picture of a Child receiving sublingual low dose antigen therapy. Completely non-invasive!

Acupuncture -Chinese medicine


Acupuncture works to balance the energy fields in the body, by needling specific points in order to re-open blocked channels in the system, allowing everything to work together in harmony. 
Traditional Chinese medicine practices, utilize techniques such as: electro-acupuncture, fire cupping, and Chinese herbs in the treatment of patients. When performed by an experienced practitioner, a high level of intuition and gentle approach  make these treatments highly effective. Acupuncture has successfully treated many ailments, such as: hormone imbalances, acute pain and musculoskeletal injuries, depression and anxiety, emotional traumas and PTSD, auto-immune conditions including Lyme, allergies, migraines, GERD, and insomnia. 

Acupuncture is usually 45-60 minutes long depending on the tolerance and needs of the individual patient. 


Ayurvedic medicine

Dr. Passic, ND is 1 of just a handful of practitioners in WA state who holds a certification as an Ayurvedic Medicine practitioner. She received her training at Bastyr University, and also traveled to India where she trained with some of the top Ayurvedic doctors there. She approaches all of her patient care with great compassion and a deep desire to understand them as a whole person.

Ayurveda is “the science of life” and works around the principle that there are 3 main doshas: Vatta, Pitta, and Kapha that need to remain in balance in order to prevent and heal disease in the body.

Ayurvedic medicine treats all sorts of conditions, like: chronic fatigue syndrome, hormone imbalances, allergies, digestive disorders, and cardiovascular issues. Dr. Passic seemlessly blends her Ayurvedic training with her ND training giving her patients a well rounded and highly customized treatment plan.


IV Therapy

We provide many different IV therapy protocols to our patients to help aid them in proper detoxification, methylation, boosting their immune systems, and overcoming nutritional deficiencies. 
Some of the IV’s we offer include: Myers Cocktail IV pushes, B12, B-complex, and Magnesium injections, Glutathione via IV push, aminosyn IV infusions, and Poly-MVA administered by infusion or IV push. 
When someone first comes to us for IV Therapy they see one of our doctors for a nutrient evaluation, and in some cases blood work is ordered so we are able to prescribe a customized treatment protocol. Most insurances cover IV therapy.

IV Therapy can be helpful in patients who have:

  • Intestinal Malabsorption

  • Lyme

  • Cancer

  • Chronic pain

  • Dehydration

  • Are preparing or recovering from surgery

  • Adrenal Fatigue

  • Migraines

  • Immune deficiencies

  • Mitochondrial dysfunction