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Direct Primary Care
Family Medicine

Trout Lake Clinic

Quick Facts

Membership Price Range$10/mo (child with paying adult member) | $40/mo (child without paying adult member) | $50/mo (18+ years) | $120/mo (family plan, up to 2 adults + children under 18)
Practice TypeDirect Primary Care
LocationTrout Lake, BZ Corner, Husum, Glenwood, Appleton, Snowden
DoctorsMarshal Harpe D.O., Family Medicine
Year Founded2017
HousecallsYes

About

, brings affordable direct primary care to one of Washington's more remote rural valleys. He opened the clinic on February 20, 2017, after converting a former duplex across from Trout Lake Grocery into a full-service family medicine practice. His wife, Shanea Harpe, a Certified Nutritional Therapy Practitioner, works alongside him, offering members up to one nutritional therapy visit per month.

The clinic serves Trout Lake and neighboring communities including Husum, Glenwood, BZ Corner, Appleton, and Snowden. Members pay $50 per month and receive same-day or next-day appointments, 24-hour access to Dr. Harpe via phone and email, and home visits when needed. The practice also dispenses common prescription medications on-site at cost and has negotiated reduced cash pricing with local radiology and lab providers. Shanea Harpe's GAPS practitioner certification rounds out a care team focused on whole-person health.

Details

Address

2384 HWY 141, PO Box 482, Trout Lake, WA 98650

Membership

$50/monthly

Membership Details

Monthly membership fees: ages 0-17 = $10/mo with paying adult family member or $40/mo without; ages 18+ = $50/mo. Registration fee at sign-up: $50 for adults 18+, $40 or $10 per child depending on enrollment plan (non-refundable). Family plan: $120/mo for up to two adult parents and biological/adopted children under 18. Business owner discount: 10% for enrolled non-family employees and the owner. Non-member acute/routine visit fee: $60 general visit fee plus potential additional costs. Re-enrollment fee up to $150/adult plus 3 months advance payment if lapsed.

Typical Appointment

30 minutes

House Calls
Same-Day Appointments

Our Doctors

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Frequently Asked Questions

Adults 18 and older pay $50 per month. Children under 18 pay $10 per month when an adult family member holds a membership, or $40 per month without one. Trout Lake Clinic also offers a family plan at $120 per month covering two adult parents and their biological or adopted children under 18. A one-time registration fee applies at sign-up: $50 for adults and $40 or $10 per child depending on the enrollment plan.

No. Members pay no co-pays during visits. The monthly membership covers everything Dr. Harpe uses during an appointment. The only exception is prescription medications dispensed from the clinic, which members pay for separately at cost.

No. Trout Lake Clinic does not accept insurance and does not bill insurance for services. Dr. Harpe has also opted out of Medicare, so Medicare patients cannot seek reimbursement for clinic services. The clinic encourages members to carry a catastrophic or high-deductible insurance plan alongside their membership to cover major or emergency health events.

Members and non-members can book appointments online through PatientFusion. The clinic also accepts appointment requests by phone or email. Appointment slots run Monday through Friday in 30-minute increments. For nutritional therapy appointments with Shanea Harpe, contact the office directly by phone or email.

The clinic primarily serves Trout Lake, BZ Corner, Husum, Glenwood, Appleton, and Snowden. For residents of those communities, the clinic places no enrollment cap. For patients living outside those areas, the clinic limits enrollment to 50 members to preserve capacity for the local community.

Appointments run approximately 30 minutes. Dr. Harpe schedules same-day or next-day visits for members who need timely care. He keeps his full attention on the patient during each visit and handles documentation after the appointment ends.

Yes. Shanea Harpe, a Certified Nutritional Therapy Practitioner, provides nutritional therapy services at the clinic. She also holds a GAPS practitioner certification. Members receive up to one nutritional therapy visit per month as part of their membership. To schedule a nutritional therapy appointment, contact the office by phone or email.

On-site non-CLIA labs are included in membership at no extra charge. Outside lab work and radiology services are billed separately. However, Dr. Harpe has negotiated reduced cash pricing with local providers to keep those costs as low as possible for patients.

Yes. Business owners who enroll one or more non-family employees in a Trout Lake Clinic membership receive a 10% discount for those employees and for themselves. Contact the office for details on how to set up a business enrollment.

Members can cancel at any time. If you let your membership lapse and choose to re-enroll, the clinic charges a re-enrollment registration fee of up to $150 per adult plus three months of advance membership payment.

Practice last updated April 10, 2026

Trout Lake Clinic - DPC in Trout Lake, WA