Oregon Medical Board BOARD ACTION REPORT 16...• Saks, Seldon Keith, MD; MD15511; Tualatin, OR If you have any questions regarding this service, please call the Board at (971) 673-2700

Oregon Medical Board

BOARD ACTION REPORT January 15, 2020

The information contained in this report summarizes new, interim, and final actions taken by the

Oregon Medical Board between December 16, 2019, and January 15, 2020.

Scanned copies of Interim Stipulated Orders, Orders of Emergency Suspension, Stipulated

Orders, Final Orders, Termination Orders, Modification Orders, Voluntary Limitations, and non-

disciplinary Corrective Action Agreements are included at the end of this report in the order that

they appear in the report. These orders are marked with an * asterisk. Scanned copies of the

following actions are not included in this report:

• Consent Agreements and their modifications/terminations (non-disciplinary, do not

impose practice limitations)

• Terminations of non-disciplinary Corrective Action Agreements

• Complaint and Notices of Proposed Disciplinary Action (not final actions by the Board)

These documents, however, are public and are available upon request.

Printed copies of documents not provided with this report are available to the public. To obtain a

printed copy of a document not provided in this report, please complete the License Verification

and Malpractice Report Request (http://www.oregon.gov/OMB/ombforms1/request-licensee-

info-verification.pdf) found under the Forms link on the Board's web site. You may submit the

form by fax to (971) 673-2670, by email to [email protected], or by mail to:

Oregon Medical Board

1500 SW 1st Ave, Ste 620

Portland, OR 97201

Copies of the Orders listed below are mailed to Oregon hospitals where the Licensee self-

reported that he/she has privileges.

_____________________________________________________________________________

*Buncke, Geoffrey Harry, MD; MD23806; Denver, CO

On January 9, 2020, the Board issued an Order Modifying Stipulated Order. This Order

modifies Licensee's July 12, 2018, Stipulated Order.

*Delabruere, Beverly Ann, MD; MD15031; Oregon City, OR

On January 9, 2020, Licensee entered into a non-disciplinary Corrective Action Agreement with

the Board. In this Agreement, Licensee agrees to follow Oregon Opioid Prescribing Guidelines;

contract with CPEP for the development of any education plan; complete the CPEP education

plan; and complete a pre-approved course on chronic pain and opioids.

*Hassan, Sammy, MD; MD20117; Portland, OR

On January 9, 2020, Licensee entered into a Stipulated Order with the Board for unprofessional

or dishonorable conduct; repeated acts of negligence; willful violation of any rule adopted by the

Board; and prescribing controlled substances without following accepted procedures for

examination of patients or for record keeping. This Order reprimands Licensee; assesses a

$5,000 civil penalty; places Licensee on probation for 5 years; restricts Licensee from

http://www.oregon.gov/OMB/ombforms1/request-licensee-info-verification.pdf

http://www.oregon.gov/OMB/ombforms1/request-licensee-info-verification.pdf

mailto:[email protected]

prescribing for family, friends, or himself; and requires Licensee to complete a pre-approved

course on professional boundaries.

*Jungwirth-Large, Lance Brandon, MD; MD23110; Jefferson, OR


or dishonorable conduct; gross or repeated acts of negligence; willful violation of any rule

adopted by the Board; and prescribing controlled substances without a legitimate medical

purpose or without following accepted procedures for examination of patients or for record

keeping. This Order reprimands Licensee; assesses a $7,500 civil penalty; restricts Licensee

from supervising physician assistants; requires Licensee to complete a CPEP evaluation, contract

with CPEP for the development of any education plan, and complete the CPEP education plan;

requires Licensee to undergo an evaluation by a healthcare provider; requires Licensee to only

practice at pre-approved sites; and subjects Licensee to no-notice chart audits and office visits by

the Board's designee.

*King, Ronald Lloyd, PA; PA160674; Portland, OR


or dishonorable conduct and gross or repeated acts of negligence. This Order restricts Licensee

from treating any patient with testosterone, and requires Licensee to only practice at pre-

approved sites.

*Markham, Juliet Kristina, MD; MD26356; Pendleton, OR


or dishonorable conduct and repeated acts of negligence. With this Order, Licensee surrenders

her medical license while under investigation.

*McNabb, Earl Dean, DPM; DP00344; Keizer, OR


or dishonorable conduct; fraud or misrepresentation in applying for or procuring a license or

registration to practice in this state; and willful violation of any rule adopted by the Board or

Board order. This Order reprimands Licensee and assesses a $10,000 civil penalty, $7,000 of

which is held in abeyance as long as Licensee's license remains at a non-practicing status.

*Morin Rayburn, Rachael Chantal, DO; DO176571; Silverton, OR


the Board. In this Agreement, Licensee agreed to complete a pre-approved course in

preeclampsia and high-risk obstetrics, and obtain a pre-approved board-certified mentor prior to

resuming an obstetrics practice.

*Mullen, John Thomas, MD; MD20837; Portland, OR


or dishonorable conduct and willful violation of a Board Order. With this Order, Licensee retires

his medical license while under investigation.

*Pham, Nhan Van, DO; DO168404; Springfield, OR

On December 19, 2019, Licensee agreed to an Interim Stipulated Order, which requires Licensee

to have a pre-approved board-certified general surgeon scrub in for any surgical procedure

performed; report any complications to the Board within one business day; and not take trauma

call pending the completion of the Board's investigation into his ability to safely and competently

practice medicine.

*Roberts, Warren Gregory, MD; MD153449; Salem, OR


the Board. In this Agreement, Licensee agreed to complete a one-year mentorship program with

a pre-approved board-certified physician; submit a re-entry plan to the Board for approval prior

to resuming a surgical practice; and complete 40 hours of pre-approved CME.

*Rodriquez, Alberto, PA; PA01439; Portland, OR


modifies Licensee's October 8, 2015, Stipulated Order.

*Rysenga, Juliet Catherine, MD; MD18740; Ontario, OR


modifies Licensee's July 7, 2016, Stipulated Order.

*Saks, Seldon Keith, MD; MD15511; Tualatin, OR

On January 9, 2020, the Board issued a Default Final Order for failure to file any tax return or

pay any tax to the Oregon Department of Revenue. This Order suspends Licensee's medical

license.

*Schrader, Jerry Lee, MD; MD06736; Salem, OR


or dishonorable conduct; impairment; gross or repeated acts of negligence; failing to comply

with a Board rule or request; and prescribing controlled substances without a legitimate medical

purpose or without following accepted procedures for examination of patients or for record

keeping. With this Order, Licensee retires his medical license while under investigation.

Swann, Allyson Paige, PA; PA173992; Springfield, OR

On January 9, 2020, Licensee entered into a non-disciplinary Consent Agreement for Re-Entry to

Practice with the Board. In this Agreement, Licensee agreed to 100% chart review by her

Supervising Physician for 60 days and to maintain NCCPA certification.

*Thibert, Mark Alan, MD; MD169232; Bend, OR


or dishonorable conduct; gross or repeated acts of negligence; and prescribing controlled

substances without a legitimate medical purpose or without following accepted procedures for

examination of patients or for record keeping. This Order reprimands Licensee; requires

Licensee to follow the Oregon Opioid Prescribing Guidelines; prohibits Licensee from

concurrently prescribing opioids with benzodiazepines, sedatives, or hypnotics to any new

patient and taper benzodiazepines, sedatives, or hypnotics for any current patient taking opioids;

requires Licensee to query the PDMP every three months for any patient prescribed controlled

substances; requires Licensee to perform urine drug screens every six months for any patient

prescribed opioids, benzodiazepines, sedatives, or hypnotics; requires Licensee to complete a

pre-approved education plan for the treatment of chronic pain and substance use disorder; and

subjects Licensee's practice to no-notice chart audits and office visits by the Board's designee.

*Von Dippe, Patrick Beauregard, MD; MD27158; Coquille, OR

On January 9, 2020, the Board issued an Order Terminating Interim Stipulated Order. This

Order terminates Licensee's July 11, 2019, Interim Stipulated Order.

*Warden, Craig Robert, MD; MD16181; Portland, OR

On January 8, 2020, Licensee entered into an Interim Stipulated Order to voluntarily withdraw

from practice and place his license in Inactive status pending the completion of the Board's

investigation into his ability to safely and competently practice medicine.

_____________________________________________________________________________

The following Licensees were issued Complaint and Notices of Proposed Disciplinary Action.

Note, in some of these instances the Board has not taken a final action.

• Abreu, Enrique Alexander, DO; DO25617; Portland, OR

• Cull, Anthony Salvatore, MD; MD25143; Portland, OR

• King, Ronald Lloyd, PA; PA160674; Portland, OR

• Saks, Seldon Keith, MD; MD15511; Tualatin, OR

________________________________________________________________________

If you have any questions regarding this service, please call the Board at (971) 673-2700 or toll-

free within Oregon at (877) 254-6263.

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PAGE 1 - ORDER MODIFYING STIPULATED ORDER - Geoffrey Hairy Buncke, MD

BEFORE THE

OREGON MEDICAL BOARD

STATE OF OREGON

In the Matter of

GEOFFREY HARRY BUNCKE, MDLICENSE NO. MD23806

)) ORDER MODIFYING) STIPULATED ORDER

1.

On July 12, 2018, Geoffrey Harry Buncke, MD (Licensee) entered into a Stipulated

Order with the Oregon Medical Board (Board). This Order placed certain conditions on

Licensee’s medical license. On September 27, 2019, Licensee submitted a written request asking

the Board to terminate Terms 5.4 and 5.6 of this Order. Terms 5.4 and 5.6 read:

5.4 Licensee must enter into a professional coaching relationship as outlined in the Acumen assessment of April 18, 2017. The professional coach must be preapproved by the Board’s Medical Director and shall initially submit quarterly reports to the Board’s Compliance Section. Licensee must sign all necessary releases to allow full communication and exchange of documents and reports between the Board and the professional coach. After one year of compliance with this term the frequency of the reports may be reduced by the Board’s Medical Director. All changes must be requested in writing and with written support from the professional coach, including the cessation of the relationship. Licensee will be notified in writing of any changes to the requiredfrequency of reports.

5.6 Within 60 days from the effective date of this Order, Licensee must hire or identify an employee within his practice to serve as an advisor to Licensee’s social interactions with patients, as outlined in the Acumen assessment of April 18, 2017. In the event the advisor leaves employment with the practice, a new advisor must be identified within 30 days. Licensee must report the name of the appointed advisor, and any changes to the advisor to the Board’s Compliance Section within ten calendar days.

2.

Having fully considered Licensee’s request and compliance with these terms, the Board

terminates terms 5.4 and 5.6 of the July 12, 2018, Stipulated Order effective the date this Order

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PAGE 2 - ORDER MODIFYING STIPULATED ORDER - Geoffrey Hany Buncke, MD

is signed by the Board Chair. All other terms of the July 12, 2018, Stipulated Order are

unchanged and remain in full force and effect.

IT IS SO ORDERED this 9th day of January, 2020.

OREGON MEDICAL BOARDState of Oregon

K. DEAN GUBLER, DOBoard Chair

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PAGE 7 - CORRECTIVE A CTION AGREEMENT ~ Beverly Ann Delabruere, MD

BEFORE THE


STATE OF OREGON

In the Matter of )

BEVERLY ANN DELABRUERE, MD ) CORRECTIVE ACTION AGREEMENT LICENSE NO. MD15031 )

)

1.

The Oregon Medical Board (Board) is the state agency responsible for licensing,

regulating and disciplining certain health care providers, including physicians, in the State of

Oregon. Beverly Ann Delabruere, MD (Licensee) is a licensed physician in the State of Oregon.

2.

On December 12, 2019, the Board issued a Complaint and Notice of Proposed

Disciplinary Action (Notice) in which the Board proposed to take disciplinary action by

imposing up to the maximum range of potential sanctions identified in ORS 677.205(2), that may

include the revocation of license, a $10,000 civil penalty per violation, and assessment of costs,

against Licensee for violations of the Medical Practice Act, to wit: ORS 677.190(1 )(a)

unprofessional or dishonorable conduct, as defined in ORS 677.188(4)(a) any conduct or practice

which does or might constitute a danger to the health or safety of a patient or the public; ORS

677.190(13) gross or repeated acts of negligence; ORS 677.190(17) willful violation of any

Board rule, specifically OAR 847-015-0030 Written Notice Disclosing the Material Risks

Associated with Prescribed or Administered Controlled Substances for the Treatment of

“Intractable Pain”; and ORS 677.190(24) prescribing controlled substances without a legitimate

medical purpose or without followi ng accepted procedures for examination of patients or for

record keeping. Prior to the issuance of the Notice, on July 30, 2018, Licensee entered into an

Interim Stipulated Order with the Board in which she agreed to certain restrictions regarding her

prescribing of controlled substances,

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PAGE 2 ~ CORRECTIVE ACTION AGREEMENT-Beverly Ann Delabruere, MD

3.

In regard to the above-referenced matter, Licensee and the Board desire to settle this

matter by entry of this Agreement. Licensee understands that he has the right to a contested case

hearing under the Administrative Procedures Act (chapter 183), Oregon Revised Statutes.

Licensee fully and finally waives the right to a contested case hearing and any appeal therefrom

by the signing of and entry of this Agreement in the Board’s records. The Board agrees to close

the current investigation and does not make a finding in regard to any violation of the Medical

Practice Act. This Agreement is a public document; however, it is not a disciplinary action. The

Agreement is reportable to the National Practitioner Data Bank and the Federation of State

Medical Boards.

4.

In order to address the concerns of the Board and for purposes of resolving this

investigation, Licensee and the Board agree that the Board will close this investigation

contingent upon Licensee agreeing to the following conditions:

4.1 Licensee agrees to comply with the Oregon Opioid Prescribing Guidelines

published by the Oregon Health Authority when prescribing opioids.

4.2 Within 30 days of the effective date of this Agreement, Licensee agrees to

contract with CPEP for the development of an education plan. Licensee agrees to bear the cost

of the completion of any CPEP recommendations, the development of an education plan, and any

post-education evaluation. Licensee agrees to sign all necessary releases to allow full

communication and exchange of documents and reports between the Board and CPEP. Licensee

agrees to ensure CPEP submits the education plan and reports directly to the Board.

4.3 Licensee agrees to sign the appropriate paperwork indicating that she agrees to

enroll in the education plan and return the signed documents to CPEP within 15 days of approval

of the educational plan by the Board’s Medical Director. Licensee agrees to successfully

complete the CPEP education plan, including any post-education evaluation, within 18 months

from the date the educational plan is approved. Licensee agrees to comply with any educational

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PAGE 3 - CORRECTIVE ACTION AGREEMENT -Beverly Arm Delabruere, MD

recommendations, practice modifications, and timelines set forth by CPEP. Licensee agrees to

bear all costs associated with the approved education plan and any post-education evaluation.

Any educational mentor must be pre-approved by CPEP and the Board’s Medical Director.

Licensee agrees to sign all necessary releases to allow full communication and exchange of

documents and reports between the Board, CPEP, and any mentors. Licensee agrees to keep the

Boa rd apprised of her compliance with the CPEP education plan throughout its duration.

4.4 Licensee agrees to provide the Board with written proof from CPEP upon

successful completion of the approved education plan, including successful completion of any

post-education evaluation, as defined above,

4.5 Upon a submitted request from CPEP that Licensee’s July 30, 2018, Interim

Stipulated Order be terminated in order to allow Licensee to complete the education plan, the

Board’s Medical Director may approve the termination of the Interim Stipulated Order. If no

request is received from CPEP, the Interim Stipulated Order will be terminated upon receipt of

documentation, of Licensee’s successful completion of the education plan. Licensee will be

notified in writing if and when this termination occurs.

4.6 Within 18 months of completion of the CPEP education plan, Licensee agrees to

successfully complete the OHSU ECHO Certificate Program focusing on chronic pain and

opioids. If this program is unavailable to Licensee, Licensee must complete a program that has

been pre-approved by the Board’s Medical Director.

4.7 Licensee agrees to inform the Compliance Section of the Board of any and all

practice sites, as well as any changes in practice address(es), employment, or practice status

within 10 business days. Additionally, Licensee agrees to notify the Compliance Section of any

changes in contact information within 10 business days.

4.8 Licensee agrees to obey all federal and Oregon state laws and regulations

pertaining to the practice of medicine.

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PAGE 4 - CORRECTIVE ACTION AGREEMENT- Beverly Ann Delabruere, MD

4.9 Licensee agrees that any violation of the terms of this Agreement shall be grounds

for disciplinary action under ORS 677,190(17).

IT IS SO AGREED this 5^ day of , 20<X».

Beverly aw-j delabruere, md

IT IS SO AGREED this


K. DEAN GUBLER, DO Board Chair

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Page

BEFORE THE


STATE OF OREGON

In the Matter of ))

SAMMY HASSAN, MD ) STIPULATED ORDERLICENSE NO. MD20117 )

1.



Oregon. Sammy Hassan, MD (Licensee) is a licensed physician in the State of Oregon.

2. .

On September 12,2019, the Board issued a Complaint and Notice of Proposed

Disciplinary Action in which the Board proposed to take disciplinary action by imposing up to

the maximum range of potential sanctions identified in ORS 677.205(2), that may include the

revocation of license, a $10,000 civil penalty per violation, and assessment of costs, against

Licensee for violations of the Medical Practice Act, to wit: ORS 677.190(l)(a) unprofessional or

dishonorable conduct, as defined in ORS 677.188(4)(a) any conduct or practice contrary to

recognized standards of ethics of the medical profession or any conduct or practice which does

or might constitute a danger to the health or safety of a patient or the public; ORS 677.190(13)

repeated acts of negligence; ORS 677.190(17) willful violation of any rule adopted by the board,

specifically OAR 847-015-0010(2)(a) thorough review of prior treatment records before

initiating treatment utilizing a Schedule III or IV controlled substance for purposes of weight

reduction OAR 847-015-0010(2)(b) obtain a thorough history, perform a thorough physical

examination of the patient, and rule out the existence of any recognized contraindications to the

use of the controlled substance to be utilized before initiating treatment utilizing a Schedule 111

or IV controlled substance; and ORS 677.190(24) prescribing controlled substances without

1 -STIPULATED ORDER - Sammy Hassan, MD

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Page 2 -STIPULATED ORDER - Sammy Hassan, MD

following accepted procedures for examination of patients, or prescribing controlled substances

without following accepted procedures for record keeping.

3.

Licensee and the Board desire to settle this matter by the entry of this Stipulated Order.

Licensee understands that he has the right to a contested case hearing under the Administrative

Procedures Act (Oregon Revised Statutes chapter 183), and fully and finally waives the right to a

contested case hearing and any appeal therefrom by the signing of this Order in the Board’s

records. Licensee neither admits nor denies, but the Board finds that Licensee engaged in the

conduct described in the September 12,2019, Complaint and Notice of Proposed Disciplinary

Action and that this conduct violated ORS 677,190(l)(a), as defined in ORS 677.188(4)(a); and

ORS 677.190(13); ORS 677.190(17), specifically OAR 847-015-0010(2)(a), and OAR 847-015-

0010(2)(b); and ORS 677.190(24). Licensee understands that this Order is a public record and

is a disciplinary action that is reportable to the National Practitioner Data Bank and the

Federation of State Medical Boards.

4.

Licensee and the Board agree that the Board will close this investigation and resolve this

matter by entry of this Stipulated Order, subject to the following conditions:

4.1 Licensee is reprimanded.

4.2 Licensee must pay a civil penalty of $5,000. The first $2,500 is due within 90

days from the effective date of this Order. The remaining $2,500 is held in abeyance as long as

Licensee submits $2,500 in full within 90 days of the effective date of this Order. If Licensee

fails to submit the $2,500 within 90 days, the final $2,500 is due within 60 additional days.

4.3 Licensee is placed on probation for a minimum period of five years and shall

report in person to the Board at each of its quarterly meetings at the scheduled times for a

probation interview, unless otherwise directed by the Board’s Compliance Officer or its

Investigative Committee. Additionally, at the Board’s discretion, interviews may be held

electronically between Licensee and the Board’s Compliance Officer (or its designee) using

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Board established protocols for the location and electronic transmission of the meeting. Licensee

is responsible for maintenance of the equipment and technology necessary for the electronic

meetings to occur. Licensee will be notified if and when such meetings are scheduled in lieu of

an in-person appearance. This term will be held in abeyance as long as Licensee’s Oregon

medical license is at a non-practicing status.

4.4 Licensee must not prescribe any medications for any family member, friends, or

himself.

4.5 Licensee must complete a course in professional boundaries that has been pre

approved by the Board’s Medical Director.

4.6 Licensee must inform the Compliance Section of the Board of any and all practice

sites in Oregon, as well as any changes in practice address(es), employment, or practice status

within 10 business days. Additionally, Licensee must notify the Compliance Section of any


4.7 Licensee must obey all federal and Oregon state laws and regulations pertaining

to the practice of medicine.

4.8 Licensee stipulates and agrees that any violation of the terms of this Order shall

be grounds for further disciplinary action under ORS 677.190(17).

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5.

This Order becomes effective the date it is signed by the Board Chair.

day of' 2020.IT IS SO ORDERED this


IT IS SO STIPULATED this


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BEFORE THE


STATE OF OREGON

In the Matter of )

LANCE BRANDON JUNGWIRTH- ) STIPULATED ORDERLARGE, MD )LICENSE NO. MD23110 )

1.



Oregon. Lance Brandon Jungwirth-Large, MD (Licensee) is a licensed physician in the State of

Oregon.

2.

On October 16, 2019, the Board issued a Complaint and Notice of Proposed Disciplinary

Action (Notice) in which the Board proposed taking disciplinary action by imposing up to the

maximum range of potential sanctions identified in ORS 677.205(2), which may include the




recognized standards of ethics of the medical profession or any conduct or practice which does

or might constitute a danger to the health or safety of a patient or the public; ORS 677.190(13)

gross or repeated acts of negligence; ORS 677.190(17) willful violation of any rule adopted by

the Board, specifically OAR 847-015-0010 bariatrics practice; and ORS 677.190(24) prescribing

controlled substances without a legitimate medical purpose or without following accepted

procedures for examination of patients or for record keeping. Prior to the issuance of the Notice,

on September 27, 2018, Licensee entered into an Interim Stipulated Order with the Board in

which he voluntarily agreed to certain prescribing limitations for chronic pain.

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Page 1 - STIPULATED ORDER - Lance Brandon Jungwirth-Large, MD

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3.

Licensee and the Board desire to settle this matter by entry of this Stipulated Order.


Procedures Act (chapter 183), Oregon Revised Statutes. Licensee fully and finally waives the

right to a contested case hearing and any appeal therefrom by the signing of and entry of this

Order in the Board’s records. Licensee neither admits nor denies, but the Board finds that he

engaged in the conduct described in the Notice dated October 16, 2019, and that this conduct

violated ORS 677.190(l)(a), as defined in ORS 677.188(4)(a); ORS 677.190(13); ORS

677.190(17), specifically OAR 847-015-0010; and ORS 677.190(24). Licensee understands that

this Order is a public record and is a disciplinary action that is reportable to the National

Practitioner Data Bank and the Federation of State Medical Boards.

4.

Licensee and the Board agree to resolve this matter by the entry of this Stipulated Order

subject to the following terms and conditions:


4.2 Licensee must pay a civil penalty of $7,500 within 90 days from the effective date

of this Order.

4.3 Licensee must not act as the supervising physician for any physician assistant.

4.4. Within 30 days from the date this Order is signed by the Board Chair, Licensee, at

his own expense, must enroll to undergo a comprehensive physician evaluation at the Center for

Personalized Education for Professionals (CPEP). Licensee must complete this evaluation

within 180 days from the date this Order is signed by the Board Chair. Licensee must sign all

necessary releases to allow full communication and exchange of documents and reports between

the Board and CPEP. Licensee must ensure CPEP submits the evaluation reports directly to the

Board.

4.5 In the event that CPEP identifies the need for remedial education, Licensee must

contract with CPEP for the development of an education plan within 30 days of receipt of the

evaluation report. Licensee must bear the cost of the completion of any CPEP recommendations,


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the development of an education plan, and any post-education evaluation. Licensee must sign all


the Board and CPEP. Licensee must ensure CPEP submits the education plan and reports

directly to the Board.

4.6 Licensee must sign the appropriate paperwork indicating that he agrees to enroll

in the education plan and return the signed documents to CPEP within 15 days of approval of the

educational plan by the Board’s Medical Director. Licensee must successfully complete the

CPEP education plan, including any post-education evaluation, within 18 months from the date

the educational plan is approved. Licensee must comply with any educational recommendations,

practice modifications, and timelines set forth by CPEP. Licensee must bear all costs associated

with the approved education plan and any post-education evaluation. Any educational' mentor

must be pre-approved by CPEP and the Board’s Medical Director. Licensed must sigh’all


the Board, CPEP, and any mentors. Licensee must keep the Board apprised of his compliance

with the CPEP education plan throughout its duration.

4.7 Licensee must provide the Board with written proof from CPEP upon successful

completion of the approved education plan, including successful completion of any post

education evaluation, as defined above.

4.8 Eighteen months after the effective date of this Order, Licensee must undergo an

evaluation by a healthcare provider who has been pre-approved by the Board’s Medical Director.

Licensee must sign all necessary releases to allow full communication between the Board and the

provider.

4.9 Licensee may only practice at sites that are pre-approved by the Board’s Medical

Director.

4.10 At the discretion of the Board or its designees, random, no notice chart audits and

office visits may be conducted by Board designees.

4.11 Upon completion of the CPEP assessment, the assessment report will be reviewed

by the Board’s Medical Director. If there are no areas identified related to Licensee’s


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prescribing, the Medical Director may authorize the termination of the September 27, 2018,

Interim Stipulated Order (ISO). If the assessment report identifies educational needs related to

Licensee’s prescribing, the Medical Director may authorize termination of the ISO either (1)

after receipt of documentation of Licensee’s successful completion of the educational plan or

coursework, or (2) upon request from CPEP to facilitate completion of the educational plan.

4.12 Licensee may petition the Board for modification of the terms of this Order.

Licensee must limit requests to one request per calendar year.


sites, as well as any changes in practice address(es), employment, or practice status within 10

business days. Additionally, Licensee must notify the Compliance Section of any changes in

contact information within 10 business days.

4.14 Licensee must obey all federal and state laws and regulations pertaining to the

practice of medicine.



4.16 Licensee stipulates and agrees that this Order becomes effective the date it is

signed by the Board Chair.

IT IS SO STIPULATED THIS day of 2019.

UNGWIRTH-LARGE, MD

IT IS SO ORDERED THIS

LANCE B


K. DEAN GUBLER, DO BOARD CHAIR


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BEFORE THE


STATE OF OREGON

In the Matter of ))

RONALD LLOYD KING, PA ) STIPULATED ORDERLICENSE NO. PAI 60674 )

)

1.


regulating and disciplining certain health care providers, including physician assistants, in the

State of Oregon. (Licensee) is a licensed physician assistant in the State of Oregon.

2.

On December 17,2019, the Board issued a Complaint and Notice of Proposed

Disciplinary Action (Notice) in which the Board proposed to take disciplinary action by

imposing up to the maximum range of potential sanctions identified in ORS 677.205(2), to

include the revocation of license, a $10,000 civil penalty, and assessment of costs, against


dishonorable conduct, as defined in ORS 677.188(4)(a) any conduct or practice which does or

might constitute a danger to the health or safety of a patient or the public, ORS 677.188(4)(b)

willful performance of any surgical or medical treatment which is contrary to acceptable medical

standards, and ORS 677.188(4)(c) administration of unnecessary treatment, or otherwise

utilizing medical service for diagnosis or treatment which is or may be considered inappropriate

or unnecessary; and ORS 677.190(13) gross or repeated acts of negligence.

3.

Licensee and the Board desire to settle this matter by entry of this Stipulated Order.




Page 1 - STIPULATED ORDER - Ronald Lloyd King, PA

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Order in the Board’s records. Licensee neither admits nor denies, but the Board finds that his

conduct as described in the December 17, 2019, Complaint and Notice of Proposed Disciplinary

Action violated ORS 677.190(l)(a) as defined in ORS 677.188(4)(a), ORS 677.188(4)(b), and

ORS 677.188(4)(c); and ORS 677.190(13). Licensee understands that this Order is a public

record and is a disciplinary action that is reportable to the National Practitioner Data Bank and

the Federation of State Medical Boards.

4.



4.1 Licensee must not treat any patient with testosterone.

4.2 Licensee may only practice at sites that are pre-approved by the Board’s Medical

Director.



business days. Additionally, Licensee must notify the Compliance Section of any changes in






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Page 1 -STIPULATED ORDER - Juliet Kristina Markham, MD

BEFORE THE


STATE OF OREGON

In the Matter of ))

JULIET KRISTINA MARKHAM, MD ) STIPULATED ORDERLICENSE NO. MD26356 )

)

1.



Oregon. Juliet Kristina Markham, MD (Licensee) is a licensed physician in the State of Oregon.

2.

On July 9,2018, the Board opened an investigation after receiving credible information

regarding Licensee’s possible violation of the Medical Practice Act and concerns regarding

Licensee’s knowledge, skill, and ability to deliver safe patient care as an obstetrics and

gynecology physician.

3.


Licensee understands that she has the right to a contested case hearing under the Administrative


contested case hearing and any appeal therefrom by the signing of and entry of this Order in the

Board’s records. Licensee neither admits nor denies, but the Board finds that Licensee engaged

in conduct that violated the Medical Practice Act, to wit: ORS 677.190(l)(a), unprofessional or

dishonorable conduct, as defined in ORS 677.188(4)(a); ORS 677.190(13) repeated acts of

negligence; and ORS 677.190(26) failure to report to the Board any adverse action taken by any

health care institution. Licensee understands that this Order is a public record and is a

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Page 2 -STIPULATED ORDER - Juliet Kristina Markham, MD

disciplinary action that is reportable to the National Practitioner Data Bank and the Federation of

State Medical Boards.

4.



4.1 Licensee surrenders her Oregon medical license while under investigation.

4.2 Licensee must obey all Federal and Oregon State laws and regulations pertaining




5.


IT IS SO STIPULATED this S day of 2019.......................................... k .............. ffi'h .... 1 ............ .................


IT IS SO ORDERED this 2020.


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Page 1 -STIPULATED ORDER - Earl Dean McNabb, DPM

BEFORE THE


STATE OF OREGON

In the Matter of ))

EARL DEAN MCNABB, DPM ) STIPULATED ORDERLICENSE NO. DP00344 )

)

1.


regulating and disciplining certain health care providers, including podiatric physicians, in the

State of Oregon. Earl Dean McNabb, DPM (Licensee) is a licensed podiatric physician in the

State of Oregon whose license is lapsed.

2.

Licensee is a board-certified podiatric physician who formerly practiced in Keizer,

Oregon. On October 2, 2014, Licensee entered into a non-disciplinary Corrective Action

Agreement which placed conditions on his podiatric licensee. On October 11, 2016, the Board

issued a Complaint and Notice of Proposed Disciplinary Action in which the Board proposed to

take disciplinary action by imposing up to the maximum range of potential sanctions identified in

ORS 677.205(2), to include the revocation of license, a $10,000 fine, and assessment of costs,

pursuant to ORS 677.205 against Licensee for violations of the Medical Practice Act, to wit:

ORS 677.190(l)(a) unprofessional or dishonorable conduct, as defined by ORS 677.188(4)(a);

ORS 677.190(8) fraud or misrepresentation in applying for or procuring a license or registration

to practice in this state; and ORS 677.190(17) willfully violating any rule adopted by the Board

or Board order.

3.



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in conduct that violated the Medical Practice Act, to wit ORS 677J 90(l)(a), as defined by ORS

677.188(4)(a); ORS 677.190(8); and ORS 677.190(17). Licensee understands that this Order is a

public record and is a disciplinary action that is reportable to the National Practitioner Data Bank

and the Federation of State Medical Boards.

4.




4.2 Licensee must pay a civil penalty of $10,000, $7,000 of which is held in abeyance

as long as Licensee’s license remains at a non-practicing status and Licensee does not apply to

reactivate his podiatric license. The remaining $3,000 is due within one year from the effective

date of this Order. Licensee may make payments as long as no payment, excepting the final

payment, is less than $100.

4.3 The Corrective Action Agreement of October 2,2014, terminates effective the

date the Board Chair signs this Order.





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5.


2020.

DEAN MCNABB, DPM


OREGON MEDICAL BOARD State of Oregon

day of ‘

IT IS SO STIPULATED this

Uuuuy-

K. DEANGUBLER, DO Board Chair

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BEFORE THE


STATE OF OREGON

In the Matter of ))

RACHAEL CHANTAL MORIN ) CORRECTIVE ACTION AGREEMENTRAYBURN, DO )LICENSE NO. DO176571 )



Oregon. Rachael Chantal Morin Rayburn, DO (Licensee) is a licensed osteopathic physician in

the State of Oregon.

2.

On September 25, 2019, the Board issued a Complaint and Notice of Proposed

Disciplinary Action in which the Board proposed to take disciplinary action by imposing up to

the maximum range of potential sanctions identified in ORS 677.205(2), that may include the



dishonorable conduct, as defined in ORS 677.188(4)(a) any conduct or practice which does or

might constitute a danger to the health or safety of a patient or the public; and ORS 677.190(13)

gross or repeated acts of negligence.

3,

Licensee and the Board now desire to settle this matter by entry of this Agreement.

Licensee understands that she has the right to a contested case hearing under the Administrative



Agreement in the Board's records. The Board agrees to close the current investigation and does

Page 1 - CORRECTIVE ACTION AGREEMENT ~ Rachael Chantal Morin Rayburn, DO

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not make a finding in regard to any violation of the Medical Practice Act. This Agreement is a

public document; however, it is not a disciplinary action. This document is reportable to the

National Practitioner Data Bank and the Federation of State Medical Boards,

4.

In order to address the concerns of the Board and for purposes of resolving this

investigation, Licensee and the Board agree that the Board will close this investigation

contingent upon Licensee agreeing to the following conditions;

4.1 Within 180 days of the effective date of this Agreement, Licensee agrees to

successfully complete a course in preeclampsia and high-risk obstetrics that has been pre

approved by the Board's Medical Director.

4.2 In the event Licensee returns to an obstetrics practice, at her own expense.

Licensee agrees to obtain a mentor who is board-certified in obstetrics and has been pre

approved by the Board’s Medical Director. Licensee agrees to conduct monthly meetings with

the mentor for the purpose ofchart review; the mentor will submit quarterly reports to the

Board’s Medical Director. Licensee may request relief from this term after six months with

written support from her mentor, Monthly meetings will continue until the Board’s Medical

Director approves Licensee’s request in writing.


practice sites, as well as any changes in practice address(es), employment, or practice status

within 10 business days. Additionally, Licensee must notify the Compliance Section of any


4.4 Licensee agrees to obey all federal and Oregon State laws and regulations

pertaining to the practice of medicine.

4.5 Licensee agrees that any violation of the terms of this Agreement constitutes

grounds to take disciplinary action under ORS 677.190(17).

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Page 2 - CORRECTIVE ACTION AGREEMENT - Rachael Chantal Morin Rayburn, DO

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4,6 Licensee agrees that this Agreement becomes effective the date it is signed by the

Board Chair.

IT IS SO STIPULATED THIS day ofQctob&V' . 2019.

JHAEL CHANTAL MORIN RAYBURN, DO




Page 3 - CORRECTIVE ACTION AGREEMENT - Rachael Chantal Morin Ray bum, DO

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Page 1 -STIPULATED ORDER - John Thomas Mullen, MD

BEFORE THE


STATE OF OREGON

In the Matter of ))

JOHN THOMAS MULLEN, MD ) STIPULATED ORDERLICENSE NO. MD20837 )

)

1.



Oregon. John Thomas Mullen, MD (Licensee) is a licensed physician (inactive status) in the

State of Oregon.

2.

On January 12,2012, Licensee entered into a Corrective Action Agreement (Agreement)

with the Board. This Agreement placed conditions on Licensee’s Oregon medical license, On

May 23,2018, the Board opened an investigation due to Licensee’s non-compliance with the

Agreement.

3.






in conduct that violated the Medical Practice Act, to wit! ORS 677.190(l)(a) unprofessional or


recognized standards of ethics of the medical profession; and ORS 677*190(17) willful violation

of a Board order. Licensee understands that this Order is a public record and is a disciplinary

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Page 2 -STIPULATED ORDER - John Thomas Mullen, MD

action that is reportable to the National Practitioner Data Bank and the Federation of Statef

Medical Boards.

4. ,



4.1 Licensee retires his Oregon medical license while under investigation.

4.2 The January 12,2012, Corrective Action Agreement terminates effective the date

the Board Chair signs this Order.

4.3 Licensee must obey all Federal and Oregon State laws and regulations pertaining




5.


IT IS SO STIPULATED this / day of Q

IT IS SO ORDERED this


2020.


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BEFORE THE

Page 1 -INTERIM STIPULATED ORDER -Nhan Van Pham, DO


STATE OF OREGON

In the Matter of ) ')

NHAN VAN PHAM, DO ) INTERIM STIPULATED ORDERLICENSE NO. DOI 68404 )

1. .


regulating and disciplining certain health care providers, including physicians, in the state of

Oregon. Nhan Van Pham, DO (Licensee) is a licensed physician in the State of Oregon and

holds an active medical license.

2.

The Board received credible information regarding Licensee that resulted in the Board

initiating an investigation. The results of the Board’s investigation to date have raised concerns

to the extent that the Board believes it necessary that Licensee agree to certain terms until the

investigation is completed.

3.

Tn order to address the Board’s concerns, Licensee and the Board agree to the entry of

this Interim Stipulated Order, which is not an admission of any wrongdoing on the part of the

Licensee, and will remain in effect while this matter is under investigation, and provides that

Licensee shall comply with the following conditions:

3.1 Licensee must have a board-certified general surgeon who has been pre-approved

by the Board’s Medical Director scrub in for any surgical procedure performed by Licensee from

incision to close. Licensee may perform endoscopies and soft tissue procedures without a board-

certified surgeon present.

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Page 2 - INTERIM STIPULATED ORDER-Nmm Van Pham, DO

3.2 Licensee must report any complications from any surgical procedure to the

Board’s Medical Director within one business day.

3.3 Licensee must not take trauma call.

3.4 Licensee understands that violating any term of this Order will be grounds for

disciplinary action udder ORS 677.190(17).

3.5 Licensee understands this Order becomes effective the date he signs it.

4,

At the conclusion of the Board’s investigation, the Board will decide whether to close the

case or to proceed to some form of disciplinary action. If the Board determines, following that

review, not to lift the requirements of this Order, Licensee may request a hearing to contest that

decision.

5.

This order is issued by the Board pursuant to ORS 677.410, which grants the Board the

authority to attach conditions to the license of Licensee to practice medicine. These conditions

will remain in effect while the Board conducts a complete investigation in order to fully inform

itself with respect to the conduct of Licensee. Pursuant to ORS 677.425, Board investigative

materials are confidential and shall not be subject to public disclosure, nor shall they be admissible

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1 as evidence in any judicial proceeding. However, as a stipulation this Order is a public document

2 and is reportable to the National Practitioner Databank and the Federation of State Medical Boards.

XT XS SO STIPULATED THIS Itf day of. 2019.4

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7IT IS SO ORDERED THIS

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NHAN VAN PHAM, DO

day of ,2019


NIC0LE KRISHNASWAMI, JD EXECUTIVE DIRECTOR

Page 3-INTERIMSTIPULATED ORDER -Nhan Van Pham, DO

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BEFORE THE


STATE OF OREGON

In the Matter of ))

WARREN GREGORY ROBERTS, MD ) CORRECTIVE ACTION AGREEMENT LICENSE NO. MD 153449 )

1.



Oregon. Warren Gregory Roberts, MD (Licensee) is a licensed physician in the State of Oregon.

2.

Licensee is a board-certified neurosurgeon. Licensee has not performed neurosurgery

since mid-year 2015. On January 8, 2015, the Board issued an Amended Complaint and Notice

of Proposed Disciplinary Action, in which the Board proposed to take disciplinary action

pursuant to ORS 677.205(2), to include the revocation of license, a $10,000 civil penalty, and

assessment of costs, against Licensee for violations of the Medical Practice Act, to wit: ORS

677.190(1 )(a) unprofessional or dishonorable conduct, as defined in ORS 677.188(4)(a), (b) and

(c) and ORS 677.190(13) gross or repeated acts of negligence.

3.


matter by entry of this agreement. Licensee understands that he has the right to a contested case



by the signing of and entry of this agreement in the Board’s records. The Board agrees to close

the current investigation and does not make a finding in regard to any violation of the Medical

Practice Act. This agreement is a public document; however, it is not a disciplinary action. This

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Page 1 - CORRECTIVE ACTION AGREEMENT- Warren Gregory Roberts, MD

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document is reportable to the National Practitioner Data Bank and the Federation of State

Medical Boards.

4.

In order to address the concerns of the Board due to Licensee’s absence from active

surgical practice and for purposes of resolving this investigation, Licensee and the Board agree

to the following terms:

4.1 Licensee agrees to enter into and successfully complete a mentorship program for

a minimum of one-year with a board-certified physician who has been pre-approved by the

Board’s Medical Director. The mentoring physician will conduct on-going chart review and will

meet with Licensee to discuss patient care issues on a weekly basis. The mentoring physician

will submit quarterly reports to the Board concerning Licensee’s medical knowledge, clinical

judgment and ability to safely practice. Licensee agrees to sign all necessary releases to allow

for full and complete communication between the mentoring physician and the Board.

4.2 If Licensee intends to resume a surgical practice, Licensee agrees to submit a re

entry plan to the Board for review and approval that includes a minimum of one-year surgical

mentorship with a board-certified neurosurgeon who has been pre-approved by the Board’s

Medical Director. A surgical practice includes invasive procedures into the cranium, spine,

facial bones, peripheral nerves, thorax, abdomen, pelvis, or major joints. This term does not

apply to Licensee suturing wounds, draining soft tissue abscesses external to body cavities,

reducing dislocations and treating fractures in coordination with a qualified orthopedist

(including splinting or casting), establishing venous access when indicated, placing catheters and

airways when indicated, and providing routine post-surgical evaluation and care such as sterile

dressing change, and performing procedures that do not require general or neuraxial anesthesia

or blockade of a major nerve.

4.3 Within 12 months from the date this Agreement is signed by the Board Chair,

Licensee agrees to complete 40 hours of continuing medical education that is pre-approved by

the Board’s Medical Director.

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Page 2 - CORRECTIVE ACTION AGREEMENT ~ Warren Gregory Roberts, MD

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4.4 Upon completion of terms 4.1 and 4.3 of this Agreement, Licensee may submit

documentation of his successful completion and a letter in support from his mentor to the

Board's Medical Director. Upon review and approval by the Medical Director, terms 4.1 and 4.3

may be terminated. <

4.5 If Licensee submits a re-entry plan to resume a surgical practice, Licensee may

petition the Board for termination of this Corrective Action Agreement upon Board-approval of

the Consent Agreement for Re-Entry to (Surgical) Practice.


practice sites, as well as any changes in practice address(cs), employment, or practice status

within 10 business days. Additionally, Licensee agrees to notify the Compliance Section of any




4.8 Licensee agrees that any violation of the terms of this Agreement constitutes

grounds to take disciplinary action under ORS 677.190(17),

IT IS SO AGREED this 2* day of 2019.


IT IS SO AGREED this


Page 3 - CORRECTIVE ACTION AGREEMENT- Warren Gregory Roberts, MD

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PAGE 1 - ORDER MODIFYING STIPULATED ORDER - Alberto Rodriquez, PA

BEFORE THE


STATE OF OREGON

In the Matter of )

ALBERTO RODRIQUEZ, PA ) ORDER MODIFYINGLICENSE NO. PA01439 ) STIPULATED ORDER

1.

On October 8, 2015, Alberto Rodriquez, PA (Licensee) entered into a Stipulated Order

with the Oregon Medical Board (Board). This Order placed certain conditions on Licensee’s

physician assistant license. On October 31,2019, Licensee submitted a written request asking

the Board to terminate this Order. Terms 4.1,4.2, and 4.6 of the Order read:

4.1 Licensee is reprimanded,

4.2 Licensee must pay a civil penalty of $4,000, payable in full 60 days after the Board Chair signs this Order.

4.6 Licensee must complete a professional boundary course pre-approved bythe Board’s Medical Director.

2.

Having fully considered Licensee’s request and compliance with these terms, the Board

terminates terms 4.1, 4.2, and 4.6 of the October 8, 2015, Stipulated Order effective the date this

Order is signed by the Board Chair. All other terms of the October 8, 2015, Stipulated Order are

unchanged and remain in full force and effect.




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PAGE 1 - ORDER MODIFYING STIPULATED ORDER - Juliet Catherine Rysenga, MD

BEFORE THE


STATE OF OREGON

In the Matter of ))

JULIET CATHERINE RYSENGA, MD ) ORDER MODIFYING LICENSE NO. MD18740 ) STIPULATED ORDER

)

1.

On July 7, 2016, Juliet Catherine Rysenga, MD (Licensee) entered into a Stipulated

Order with the Oregon Medical Board (Board). This Order placed certain conditions on

Licensee’s medical license. On August 21, 2019, Licensee submitted a written request asking

the Board to terminate Term 4.5 of this Order, which reads:

4.5 Licensee must maintain an on-going relationship with a healthcare provider who has been pre-approved by the Board's Medical Director, who will provide quarterly written reports to the Board.

2.

Having fully considered Licensee’s request, the Board modifies Term 4.5 of the July 7,

2016, Stipulated Order as follows:

4.5 Licensee must maintain an on-going relationship with a healthcare provider who

has been pre-approved by the Board’s Medical Director, who will provide semi-annual written

reports to the Board.

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PAGE 2 - ORDER MODIFYING STIPULATED ORDER - Juliet Catherine Rysenga, MD

This modification becomes effective the date this Order is signed by the Board Chair.

All other terms of the July 7, 2016, Stipulated Order are unchanged and remain in full force and

effect.




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BEFORE THE


STATE OF OREGON

In the Matter of ))

SELDON KEITH SAKS, MD ) DEFAULT FINAL ORDERLICENSE NO. MD15511 )

1.



Oregon. Seldon Keith Saks, MD (Licensee) is a licensed physician in the State of Oregon.

2.

2.1 On September 4, 2018, the Board issued a Complaint and Notice of Proposed

Disciplinary Action in which the Board proposed to suspend Licensee’s medical license

pursuant to ORS 305.385.

2.2 On September 20, 2018, Licensee requested a hearing on the matter.

2.3 On November 15, 2019, Licensee formally withdrew his request for a hearing

onthis matter. As a result, Licensee now stands in default.

2.4 Copies of the entire investigation file are designated as the record for purposes

of default, including any submission from Licensee and all information in the administrative

file relating to the mailing of notices and any responses received.

NOW THEREFORE, after considering the Board’s file relating to this matter, the Board

enters the following Order.

3.

FINDINGS OF FACT & CONCLUSIONS OF LAW

The Board makes the following findings of fact and conclusions of law from the

Board’s file pertaining to this case:

PAGE 1 -DEFAULT FINAL ORDER - Seldon Keith Saks, MD

(Revenue) determines that any licensee who has neglected or refused to file any tax return or2

to pay any tax, that such person has not filed in good faith a petition before Revenue3

contesting the tax, and Revenue has been unable to obtain payment of the tax through other4

methods of collection, Revenue may notify the licensing agency and that agency shall5

suspend any license until it receives a certificate, issued by Revenue, that the licensee is in6

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the Board suspend the license of Licensee to practice medicine pursuant to ORS 305.3859

because Licensee (1) has neglected or refused to file any return or pay any tax, (2) has not10

filed a good faith petition before Revenue, and (3) Revenue has been unable to obtain

payment of the tax through other methods of collection.12

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notification by Revenue and after opportunity for hearing as provided by ORS 183.415.14

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16 305.385.

4.17

ORDER18

IT IS HEREBY ORDERED THAT the medical license of Seldon Keith Saks to19

practice as a physician in the State of Oregon is suspended. This suspension will remain in20

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3.4 Licensee’s medical license should be suspended in accordance with ORS

3.1 ORS 305.385(4)(a) provides that if the Oregon Department of Revenue

3.3 ORS 305.385(4)(c) requires the Board to suspend Licensee’s license upon

good standing.

/ 3.2 By letter dated April 30, 2018, Revenue notified the Board and requested that


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effect until terminated by the Board after receipt of a Certificate of Good Standing issued by

Revenue regarding Licensee’s in good standing.

DATED this 9th day of January 2020.


K. DEAN GUBLER, DOBOARD CHAIR

Right to Judicial Review

NOTICE: You are entitled to judicial review of this Order. Judicial review may be obtained

by filing a petition for review with the Oregon Court of Appeals within 60 days after the final

order is served upon you. See ORS 183.482. If this Order was personally delivered to you,

the date of service is the day it was mailed, not the day you received it. If you do not file a

petition for judicial review within the 60 days time period, you will lose your right to appeal.


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Page 1 -STIPULATED ORDER - Jerry Lee Schrader, MD

BEFORE THE


STATE OF OREGON

In the Matter of ))

JERRY LEE SCHRADER, MD ) STIPULATED ORDERLICENSE NO. MD06736 )

)

1.



Oregon. Jerry Lee Schrader, MD (Licensee) is a licensed physician in the State of Oregon.

2.

On December 10, 2018, the Board opened an investigation after receiving credible

information regarding Licensee’s prescribing practices and his ability to safely practice

medicine. On May 6, 2019, the Board issued an Order of Emergency Suspension due to

concerns of immediate danger to the public and Licensee’s patients. On September 9, 2019, the

Board issued a Complaint and Notice of Proposed Disciplinary Action (Notice) alleging

violations of the Medical Practice Act.

3.

The Board has received credible information that Licensee lacks testamentary capacity

to make decisions for himself and has lacked that capacity since November 30, 2018 as

determined by his primaiy care physician.

4.

Licensee executed a Durable Power of Attorney (POA) on December 14,2016

appointing as his agent his daughter, Linda J. Schrader-Patton (Representative). She accepted

those responsibilities on or about October 3, 2019. Licensee's Representative has authority to

act on litigation matters pursuant to paragraph seven (7) of the executed POA.

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Page 2 -STIPULATED ORDER - Jerry Lee Schrader, MD

5.

Representative and the Board desire to settle this matter by the entiy of this Stipulated

Order. Representative understands that Licensee has the right to a contested case hearing

under the Administrative Procedures Act (Oregon Revised Statutes chapter 183), and fully and

finally waives the right to a contested case hearing and any appeal therefrom by the signing of

this Order in the Board’s records. Licensee, through his Representative, neither admits nor

denies, but the Board finds that Licensee engaged in conduct as described in the Notice dated

September 10, 2019, and this conduct violated the Medical Practice Act, to wit: ORS

677.190(l)(a), as defined in ORS 677.188(4)(a); ORS 677.190(7); ORS 677.190(13); ORS

677.190(17); and ORS 677.190(24). Representative understands that this Order is a public

record and is a disciplinary action against Licensee that is reportable to the National

Practitioner Data Bank and the Federation of State Medical Boards.

6.

Representative and the Board agree that the Board will close this investigation and

resolve this matter by entry of this Stipulated Order, subject to the following conditions:

6.1 The Representative for Licensee retires his Oregon medical license while under investigation.

6.2 The May 6, 2019, Order of Emergency Suspension terminates, effective the date

the Board Chair signs this Order.

6.3 The Representative acknowledges on behalf of the Licensee must obey all Federal and

Oregon State laws and regulations pertaining to the practice of medicine.

6.4 The Representative acknowledges on behalf of the Licensee that any violation of the terms of

this Order shall be grounds for further disciplinary action under ORS 677.190(17).

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Page 3 -STIPULATED ORDER — Jerry Lee Schrader, MD

7.


IT IS SO STIPULATED this II I day of 2019.

L A J. SCHRADER-PATTONPower of Attorney for JERRY LEE SCHRADER, MD




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PAGE 1 - STIPLULATED ORDER - Mark Alan Thibert, MD

BEFORE THE


STATE OF OREGON

In the Matter of ))

MARK ALAN THIBERT, MD ) STIPULATED ORDERLICENSE NO. MD169232 )

)

1.



Oregon. Mark Alan Thibert, MD (Licensee) is a licensed physician in the State of Oregon.

2.

Licensee is a board-certified internal medicine physician practicing in Bend, Oregon. On

September 25, 2019, the Board issued a Complaint and Notice of Proposed Disciplinary Action

(Notice) in which the Board proposed taking disciplinary action for violations pursuant to ORS

677.205(2), that may include the revocation of license, a $10,000 civil penalty per violation, and

assessment of costs, against Licensee for violations of the Medical Practice Act, to wit: ORS

677.190(l)(a) unprofessional or dishonorable conduct, as defined in ORS 677.188(4)(a) any

conduct or practice which does or might constitute a danger to the health or safety of a patient or

the public; ORS 677.190(13) gross or repeated acts of negligence; and ORS 677.190(24)

prescribing controlled substances without a legitimate medical purpose or without following

accepted procedures for examination of patients or for record keeping.

3.


matter by entry of this Agreement. Licensee understands that he has the right to a contested case



by the signing of and entry of this agreement in the Board’s records. Licensee neither admits nor

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denies, but the Board finds that he engaged in the conduct described in Notice dated September

25, 2019, and that this conduct violated ORS 677.190(1 )(a), as defined in ORS 677.188(4)(a);

ORS 677.190(13); and ORS 677.190(24). Licensee understands that this Order is a public

record and is a disciplinary action that is reportable to the National Practitioner Data Bank and

the Federation of State Medical Boards.

4.




4.2 Licensee must follow the Oregon Opioid Prescribing Guidelines for the treatment

of acute and chronic pain.

4.3 Licensee must not prescribe benzodiazepines, sedatives, or hypnotics to any new

patient currently taking opioid medications.

4.4 For any current patient prescribed opioids, Licensee must taper the dose of

benzodiazepines, sedatives, or hypnotics by at least 5-10% per month. Alternatively, Licensee

may transfer the care of any patient for whom he is prescribing opioids with benzodiazepines,

sedatives, or hypnotics to another physician.

4.5 Licensee must query the Prescription Drug Monitoring Program for any patient

prescribed controlled substances. Queries must occur at least every three months.

4.6 Licensee must perform urine drug screens at least every six months for any

patient prescribed opioids, benzodiazepines, sedatives or hypnotics.

4.7 Within 120 days of the effective date of this Order, Licensee must enroll in an

educational plan pre-approved by the Board’s Medical Director for the treatment of chronic pain

and substance use disorder. The plan must include integration of behavioral health into the

Licensee’s practice. All costs associated with the education plan must be borne by Licensee and

Licensee must complete the education plan within 18 months of approval of the plan by the

Board’s Medical Director.

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4.8 Licensee must sign all necessary releases to allow full communication and

exchange of documents and reports between the Board and the education plan administrator.

Licensee must provide his quarterly PDMP data to the educational plan administrator upon

request.

4.9 At the discretion of the Board or its designees, random, no notice chart audits and

office visits may be conducted by Board designees.



business days. Additionally, Licensee agrees to notify the Compliance Section of any changes in










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BEFORE THE


STATE OF OREGON

In the Matter of ))

PATRICK BEAUREGARD VON ) ORDER TERMINATING INTERIMDIPPE, MD ) STIPULATED ORDERLICENSE NO. MD27158

)

1.

On July 11,2019, Patrick Beauregard Von Dippe, MD (Licensee) entered into an Interim

Stipulated Order with the Oregon Medical Board (Board) in which he agreed to voluntarily

withdraw from practice and place his license at Inactive status. .

2.

At its meeting on January 9, 2020, the Board reviewed this matter. The Board terminates

the July 11, 2019, Interim Stipulated Order effective the date this Order is signed by the Board

Chair.




Page -1 ORDER TERMINATING INTERIM STIPULATED ORDER- Patrick Beauregard Von Dippe, MD

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BEFORE THE


STATE OF OREGON

In the Matter of ))

CRAIG ROBERT WARDEN, MD ) INTERIM STIPULATED ORDERLICENSE NO. MD16181 )

)

t.


regulating and disciplining certain healthcare providers, including physicians, in the State of

Oregon. Craig Robert Warden, MD (Licensee) is a licensed physician in the State of Oregon.

2.

The Board received credible information regarding Licensee that resulted in the Board

initiating an investigation. The results of the Board’s investigation to date have raised concerns

to the extent that the Board believes it necessary that Licensee agree to cease the practice of

medicine until the investigation is completed.

3.

In order to address the concerns of the Board, Licensee and the Board agree to enter into

this Interim Stipulated Order, which is not an admission of any wrongdoing on the part of the

Licensee, and provides that Licensee shall comply with the following conditions effective the

date this Order is signed by Licensee:

3.1 Licensee voluntarily withdraws from the practice of medicine and his license is

placed in Inactive status pending the completion of the Board’s investigation into his ability to

safely and competently practice medicine.

3.2 Licensee understands that violating any term of this Order will be grounds for

disciplinary action under ORS 677.190(17).

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Page -1 INTERIM STIPULATED ORDER - Craig Robert Warden, MD

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4.

At the conclusion of the Board’s investigation, Licensee’s status will be reviewed in an

expeditious manner. Following that review, if the Board determines that Licensee shall not be

permitted to return to the practice of medicine, Licensee may request a hearing to contest that

decision.

5.

This Order is issued by the Board pursuant to ORS 677.265(1) and (2) for the puipose

of protecting the public, and making a complete investigation in order to fully inform itself with

respect to the performance or conduct of the Licensee and Licensee’s ability to safely and

competently practice medicine. Pursuant to ORS 677.425, Board investigative materials are

confidential and shall not be subject to public disclosure. However, as a stipulation this Order is

a public document and is reportable to the National Practitioner Data Bank and the Federation of

State Medical Boards.

6.

This Order becomes effective the date it is signed by the Licensee.

Ttt'""" yIT IS SO STIPULATED THIS IT day of 2020.

CRAIG ROBERT WARDEN, MD

IT IS SO ORDERED THIS 0 day of , 2020.

State of Oregon OREGON MEDICAL BOARD

NICOLE KRISHNASWAMI, JD EXECUTIVE DIRECTOR

Page -2 INTERIM STIPULATED ORDER - Craig Robert Warden, MD

Documents

Oregon Medical Board BOARD ACTION REPORT 16...• Saks, Seldon Keith, MD; MD15511; Tualatin, OR If you have any questions regarding this service, please call the Board at (971) 673-2700