Most Lake Oswego patients who call have already had the fifteen-minute version of this conversation. They describe fatigue, weight that will not move, sleep that stopped working, or a cycle that changed — and they were told the labs looked fine. The labs often did look fine, because the panel was narrow and nobody asked what else might be involved.
What Lake Oswego patients usually call about
A few themes come up repeatedly:
- One thorough workup, finally — years of brief appointments and narrow panels, and a wish to have the whole picture examined properly once.
- Perimenopause and menopause — symptoms that arrived gradually enough to be normalized, and which respond well once hormones are actually measured at the right point in the cycle.
- Thyroid symptoms with unremarkable labs — cold intolerance, weight, hair and skin changes, closed off by a single TSH.
- Energy that never came back — fatigue that outlasted the obvious explanations and was never fully accounted for.
Getting here from Lake Oswego
About six miles, roughly ten to fifteen minutes. Boones Ferry Road runs south from Lake Grove almost directly to us, and I-5 to the Nyberg Street exit is the alternative if you are starting from the downtown and A Avenue side of town.
We are at 18861 SW Martinazzi Ave in central Tualatin, in the Tualatin Commons district, around the corner from Fred Meyer and minutes from Legacy Meridian Park Medical Center. Parking is straightforward, which is not always true closer to the lake.
Hormone, thyroid and adrenal conditions we treat
The Tualatin clinic is where this practice started, and the full range of care is available here.
- Hormone decline in women — menopause, perimenopause, PMS, and PCOS, treated with bioidentical hormone therapy dosed from your own lab work.
- Hormone decline in men — andropause and low testosterone, addressed with BHRT for men or testosterone replacement once testing shows a genuine deficiency.
- Thyroid and autoimmune — thyroid imbalances and Hashimoto’s disease, evaluated with a full panel rather than a lone TSH.
- Energy and stress — adrenal dysfunction and chronic fatigue, where the whole stack gets tested instead of one suspect at a time.
- Steady-state hormone care — hormone pellet therapy for patients who prefer fewer touchpoints between visits.
Does insurance cover a naturopathic doctor in Oregon?
This is worth knowing, because Oregon is unusual. State law allows licensed naturopathic physicians to credential with insurers as primary-care providers, and many Oregon commercial plans cover naturopathic office visits — coverage that patients in most other states simply do not have.
To be straightforward about our own practice: we are not currently in-network with any plan and we do not bill insurers directly. We provide a detailed billing summary you can submit for possible reimbursement, depending on your plan’s rules. Our FAQs cover how appointments and billing work in more detail.
The Northwest factors we actually test for
Living through Willamette Valley winters puts predictable pressure on the systems this practice treats, and the effects get written off as normal for the season every year.
- Vitamin D — Months of overcast weather at this latitude make deficiency genuinely common here. It is easy to measure, it is straightforward to correct, and its symptoms overlap almost perfectly with low thyroid and low mood.
- Seasonal energy and mood dips — Shorter days shift sleep and cortisol rhythm, which is worth separating from a thyroid problem rather than assuming one explains the other.
- Thyroid symptoms mistaken for winter — Cold intolerance, weight gain, dry skin, and flat energy all read as “just the season” until someone runs a full panel instead of a single TSH.
None of that replaces a diagnosis. It means the workup accounts for where you live, so the season never becomes the explanation by default.
Your first visit as a Lake Oswego patient
It starts with a free 15-minute discovery call — your symptoms, your goals, and an honest answer about whether we are the right fit. The first appointment itself is a full 60 minutes: a real review of your history, symptoms, and any labs you already have, then targeted testing and a plan built from the results. Follow-up labs confirm whether it is working rather than leaving you to guess.
Dr. Rob Dramov, NMD has practiced in Tualatin for more than two decades, and it is the same physician at every visit. Our approach walks through the whole arc, from first call to follow-up testing.
Planning the drive from Lake Oswego
A few practical things make the first appointment more productive:
- Bring any labs you already have — including results you were told were normal. Previous panels show a trend, and a value sitting at the edge of a reference range often reads very differently in context.
- Bring your current list — prescriptions, supplements, and doses. Several common supplements affect thyroid and hormone results and change how your numbers are interpreted.
- Check your benefits first — call ahead and we will help you work out what your Oregon plan covers before you commit to anything.
- Allow the full hour — appointments run Monday through Thursday, 8:30 AM to 5:00 PM, and Friday 11:00 AM to 1:00 PM.
The clinic is at 18861 SW Martinazzi Ave in central Tualatin, in the Tualatin Commons district just off Interstate 5 at the Nyberg Street exit — around the corner from the Fred Meyer shopping center and minutes from Legacy Meridian Park Medical Center.
Lake Oswego patient FAQs
How far is Tualatin from Lake Oswego?
About six miles and typically ten to fifteen minutes. Boones Ferry Road runs south from the Lake Grove side almost directly to the clinic; from downtown Lake Oswego, I-5 to the Nyberg Street exit is usually quicker. We are at 18861 SW Martinazzi Ave in the Tualatin Commons district.
Does insurance cover naturopathic visits in Oregon?
Often, yes — Oregon law allows licensed naturopathic physicians to credential with insurers as primary-care providers, and many Oregon commercial plans cover ND office visits. To be straightforward about our own practice: we are not currently in-network with any plan and we do not bill insurers directly. We provide a detailed billing summary you can submit for possible reimbursement, depending on your plan’s rules.
What happens at the first appointment?
A free 15-minute discovery call comes first, so you can describe what is going on and get an honest answer about whether we can help. The appointment itself is a full 60 minutes covering your history, symptoms, and existing labs, followed by targeted testing and a plan built from the results.
Do you offer telemedicine?
Yes. Dr. Dramov is licensed in Oregon, so virtual visits are available for follow-ups and lab reviews. Many patients pair an in-person first appointment with virtual follow-ups afterwards. Physical exams and in-office treatments still require a visit.
Do I need a referral to be seen?
No referral is needed. Every patient relationship starts with a free 15-minute discovery call, so you can describe what is going on and get an honest answer about whether we are the right fit before booking anything.
What conditions do you treat?
Hormone decline in women and men, thyroid imbalances and Hashimoto’s disease, adrenal dysfunction and chronic fatigue, PCOS and PMS — with bioidentical hormone therapy, testosterone replacement, and hormone pellet therapy at the Tualatin clinic.