Meet our Team

C.J. Kuan, MD, PhD, nephrologist at Skagit Valley Kidney CenterC.J. Kuan, MD, PhD, received his MD in 1983 from National Taiwan University and received his PhD in Pharmacology from Vanderbilt University in 1989. He performed an Internal Medicine Internship and Residency at the University of Washington and a fellowship in Nephrology. He was also an Instructor in the department of Medicine at the University of Pittsburgh. He is board certified in Internal Medicine and Nephrology. He has been in practice since 1998, and private practice with North Sound Kidney Physicians since 2010.


William Edward Lombard, MD, nephrologist at Skagit Valley Kidney CenterWilliam Edward Lombard, MD, received his MD from Temple University School of Medicine, Philadelphia, PA in 1974. He completed his Residency at Parkland Memorial Hospital and Dallas County Hospitals, Dallas, Texas; received his Research Fellowship, Division of Nephrology from the University of Texas Health Science Center, Dallas Texas. He is board certified in Internal Medicine and Nephrology. He has been a partner with Mt. Baker Nephrology Associates, Bellingham, Washington since 1982.


Larry Eugene Moss, MD, nephrologist at Skagit Valley Kidney CenterLarry Eugene Moss, MD, received his MD from University of Iowa College of Medicine, Iowa City, Iowa in 1986. He completed his Residency and Internship at University of Kansas Medical Center, Kansas City, Kansas; received his Fellowship training in Nephrology from Oregon Health Sciences University, Portland, Oregon. He was also an instructor to medical students at Oregon Health Sciences University. He is board certified in Internal Medicine and Nephrology. He has been a partner with Mt. Baker Nephrology Associates, Bellingham, Washington since 1995.


Hooman Hajian, MD, nephrologist at Skagit Valley Kidney CenterHooman Hajian, MD, has a diverse and impressive research and training background which includes Internal Medicine Residency at Penn State University, a Master of Public Health with focus on quantitative methods and clinical research from Harvard University, Clinical Research Fellowship at the University of British Columbia, and Nephrology Fellowship at the University of Washington. Dr. Hajian's professional interests include clinical outcomes research, clinical trials, and Interventional Nephrology. His personal interests include travel, golf, reading, live music, and spending time with friends and family, particularly his two daughters.

Mary Elizabeth Lotfi, MD, received her MD from University of Cairo, School of medicine, Cairo, Egypt in 1998. She completed her Internal Medicine Residency Program  at University of Illinois at Chicago/Michael Reese Hospital Program, Chicago, Illinois and a Nephrology fellowship program at the University of Wisconsin Hospital and Clinics. She is board certified in both Internal Medicine and Nephrology. She has been in practice with Mt. Baker Nephrology Associates, Bellingham, Washington since 2006.

Emily Ya-Lan Huang, MD, received her MD from University of Oklahoma, Oklahoma City, Oklahoma, in 1992. She completed her Residency in Internal Medicine at Thomas Jefferson University Program, and received her fellowship in Nephrology from Medical college of Pennsylvania-Hahnemann University Hospital Program. She is board certified in Internal Medicine and Nephrology. She has been a partner with Western Washington Medical Group-Nephrology, Everett, Washington for several years.

Kidney Center Clinical Director, Debbie Woodard, RNKidney Center Clinical Director, Debbie Woodard, RN
The Clinical Director has 24-hour responsibility for management of services that support the delivery of patient care. This includes oversight and management of all aspects regarding the clinical, quality assurance and performance improvement functions of the kidney center. The Clinical Director also establishes policies, procedures and standards of care, hires and maintains qualified staff and responds to patient concerns.

Meet our Clinical Staff

Charge Nurse
The Charge Nurse is responsible for the direction and coordination of clinical staff (nurses and techs) and makes sure that everything is running smoothly on a day-to-day basis, including making adjustments to the patient and staff schedules and communicating with doctors. The Charge Nurse takes on specific tasks of monitoring and maximizing patients’ treatments, including specific lab results. This person is also responsible for scheduling staff breaks so that there is adequate coverage on the floor at all times, assuring optimal patient care.

RN Clinical Coordinator
The Clinical Coordinator performs a variety of functions that include new patient assessment and orientation, monitoring adherence to clinical guidelines, in keeping with the Medicare Conditions for Coverage, and updating unit policies and procedures. The RN Clinical Coordinator also works on quality assessment and performance activities and staff orientation, education and development.

Patient Education and Training Coordinator
The Patient Education and Training Coordinator is responsible for all aspects of the Peritoneal Dialysis home training program, including educating and training patients and following their care. This person reviews trends, develops and makes changes to training practices and trains all other staff who work in the PD program.

Nephrology Nurses
Nephrology nurses, in both the hemodialysis and peritoneal dialysis programs, are licensed RNs who specialize in the care of patients with kidney failure. They are responsible for assessing patients, assuring that patients’ medications and treatments are administered correctly and for overseeing the dialysis process on a daily basis.

Patient Care Technicians
Patient Care Technicians perform a hemodialysis patient’s treatment. They are responsible for starting and ending each treatment and for monitoring patients before, during and after treatments. Patient care technicians complete an in-depth training program, are certified by the State of Washington and must achieve national certification.

Meet our Professional Staff

Renal Dietitians
Renal Dietitians have specialized Bachelor's and/or Master's degrees in dietetics and must meet certain education requirements to be registered dietitians (RDs). They know what foods are right for the dialysis patient and they can help patients plan their meals. Ensuring adequate, specialized nutrition is an important part of a dialysis patient’s care. Renal dietitians are skilled in tailoring each patient’s food intake to meet their unique needs. They are also involved in the overview of bone management, quality assurance, and dialysis adequacy.

Social Workers
Social workers in dialysis centers have a master’s degree in clinical social work (MSW) and are licensed in the State of Washington. Your Skagit Valley Kidney Center social workers help patients and their families cope with kidney disease and changes in their family, home, workplace and community.

Patient Navigator
The Patient navigator works in partnership with the social workers to provide financial assistance and counseling and coordinates the Kidney Disease Program for the Skagit Valley Kidney Center. The Patient Navigator also publishes the patient newsletter and coordinates patient education, including pre-dialysis and transplant education. 

Meet our Support and Technical Staff

Patient Program Coordinator/Administrative Assistant
Our Patient Program Coordinator provides administrative support, preparation of documents, schedules care conferences and monitors assessments and care plans to assure they are scheduled and completed in a timely manner. This person provides statistical data to the Northwest Renal Network, assists incoming and outgoing patient travel, enters and tracks data and provides general clerical support to the program director and other members of the dialysis team.

Charge Capture Specialist/Receptionist
In addition to entering and reconciling all the daily charges, the Charge Capture Specialist makes sure that all patient account information and codes are correct so that claims can be sent to the Medicare, Medicaid and insurances for payment. This person also greets patients and guests, answers phones, gives directions, calls taxis for patients and is an around “go to” person for both patients and staff.

Technical Coordinator
The Technical Coordinator is responsible for organization and oversight of all aspects of the technical department, including machine maintenance, ordering of supplies for the kidney center, and maintenance of required documentation for emergency carts, the water system, meters, the bicarb system and dialysis machines. This person acts as the technical expert, updating policies and procedures as needed and provides training regarding water treatment and the repair and upkeep of all equipment. The Technical Coordinator also helps train new clinical staff in best practices and works with staff to make sure that infection control practices are followed.

Equipment Technician
The Equipment Technician is responsible for maintenance on dialysis machines in the kidney center and in the hospital. In addition to the dialysis machines, this person is also responsible for keeping systems related to dialysis, in both the kidney center and in the hospital, in working condition and disinfected.

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