Laarnie Chaco, PA-C, is a Physician Assistant at Columbia Pain and Spine Institute. She is certified by the National Commission on Certification of Physician Assistants (NCCPA) and a member of Oregon Medical Association (OMA). She graduated from Stanford School of Medicine Primary Care Associate Program and obtained her Master’s Degree in Medical Science from St. Francis University. She has several years of providing care to patients in a variety of fields including Oncology, Urgent Care and Family Practice.

Nikkiel LeFebre is a Family Nurse Practitioner board certified by the American Association of Nurse Practitioners. She is a member of the Oregon Nurse Practitioners (ONP) Association and participant as a committee member for ONP education committee and education marketing subcommittee.

She completed her undergraduate from Oregon Health and Science University; and her graduate studies at Washington State University. She partners with her patients and physician colleagues to develop treatment plans that address the multifaceted care needs for patients living with a multitude of pain syndromes. She has previously worked in family medicine, oncology, and chronic pain management.