Leadership Team

Lucille Marchand, M.D., BSN, FAAHPM
Executive Director, Osher Center for Integrative Medicine Farber Endowed Professor in Palliative Care Education Professor and Chief of Palliative Care, Department of Family Medicine


Dr. Marchand is board-certified in family medicine, palliative medicine and integrative holistic medicine. At the University of Wisconsin for 23 years, she practiced primary integrative medicine for 14 years in a rural family medicine residency practice, and then worked as an integrative medicine consultant at UW Health Integrative Medicine Clinic and was clinical director of IM at the UW Carbone Cancer Center and the ProHealth Cancer Center. She was founder and director of the St. Mary’s Hospital Palliative Care Program in Madison, WI, and was recruited to the University of WA as director of the UW Medical Center’s (UWMC) Palliative Care Program and section chief of PC in the UW DFM. She has trained and served as faculty in a number of healing modalities, including CAPACITAR (a multicultural educational approach to healing trauma) and RISEN (Reinvesting in Spirituality and Ethics in our Networks), and she is a certified yoga teacher. She has received numerous awards in teaching and humanities, and in 2017 received the American Academy of Hospice and Palliative Medicine Humanities Award, and in 2018 received the Society of Teachers of Family Medicine Gold Humanism Award. She now provides inpatient integrative palliative care at UWMC. Her efforts in clinical care, education and research include special interest in communication and training, focus on whole person wellness despite serious illness, resiliency and self-care in health science learners and clinicians, medical humanities, humanism, and narrative medicine interventions for well-being. She walks her talk of health and wellbeing. She is the founding executive director of the Osher Center at UW.

Iman Majd, M.D., M.S., LAc.
Director, Osher Center Integrative Medicine Integrative Medicine Family Practice and Acupuncture, UW Neighborhood Clinics Clinical Assistant Professor, Department of Family Medicine Clinical Faculty, Bastyr University


As an integrative medicine specialist, family medicine practitioner and double board-certified acupuncturist, Dr. Iman Majd brings a rare repertoire of integrative specialties to his clinical practice at the UW Neighborhood Clinic in Factoria. For more than a decade after receiving his M.S. in acupuncture from Bastyr University, Dr. Majd has supervised, trained and proctored the next generation of acupuncturists in an ongoing collaboration with Bastyr and the UW. He has lectured nationally and internationally on the incorporation of integrative medicine practices into a mainstream clinical setting.Dr. Majd takes a holistic approach to health, and he tailors his treatment plans based on the individuality of his patients. He uses acupuncture and manual therapy, lifestyle guidance and supplementation to assist patients in regaining and maintaining their health.

Osher Team

Misbah Keen, M.D., MBI
UW Professor and Vice Chair for Education, Department of Family Medicine


Misbah Keen, MD, graduated from Government Medical College in Srinagar, India and subsequently completed a family medicine residency at Mercy Health Partners in Toledo, OH. He also completed masters degrees in Bio-Medical Informatics through Oregon Health and Sciences University and Public Health through Johns Hopkins University. Prior to joining UW, he had been practicing full spectrum of family medicine at Columbia Basin Health Association in Othello, Wash. He has interests in teaching and mentoring, patient safety & medical errors, and medical informatics.

Heather Tick, M.D.
UW Clinical Professor, Department of Family Medicine UW Clinical Professor, Department of Anesthesiology and Pain Medicine Gunn-Loke Endowed Professor for Integrative Pain Medicine


Heather Tick, M.A., M.D., is the first holder of the Gunn-Loke Endowed Professorship of Integrative Pain Medicine at the University of Washington. She has been an integrative pain practitioner for over 20 years. She is a UW clinical associate professor in both the Departments of Family Medicine, and Anesthesiology and Pain Medicine.Dr. Tick’s clinical interests include integrative pain medicine. She approaches each patient as a unique individual whose optimal health depends on many factors in his or her lifestyle, genetics and life experience. It is her job to help patients to be as healthy as possible and to search for barriers to healing. She focuses on health creation rather than disease management.

Justin Kappel, M.D., MPH
Acting Assistant Professor, UW Department of Family Medicine


Dr. Kappel attended medical school at Emory University and completed his Family Medicine residency at the University of Washington. During this time he also completed medical acupuncture training through the Helms Medical Institute. Dr. Kappel is a board-certified family medicine physician practicing primary care incorporating integrative approaches, and medical acupuncture. Dr. Kappel strives to address patients’ health needs using a holistic approach combining the best of modern evidence-based medicine with complementary approaches including acupuncture, yoga, and mindfulness practices. His practice has a special emphasis on the care of the elderly as well as treatment for musculoskeletal and mental health conditions.

Gracia Tharp, MSAOM, LAc


Gracia Tharp joined the Osher Center in Spring 2021, practicing at the Ballard Clinic. Her experience and training focus on the integration of Eastern medicine into the Western medical model. She holds a Master of Science degree in Acupuncture and Oriental Medicine (MSAOM) from Bastyr University and is board certified through the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM).

Gracia utilized acupuncture and manual therapies to address acute and chronic pain, alleviant symptoms related to digestive disorders, stress, sleep disturbances, and support side effects related to cancer treatments. Over the years, Gracia developed a strong interest in supporting women’s health. She works with women of all ages, helping them regulate their menstrual cycle, alleviate pain from pelvic disorders, prenatal/postnatal care, and alleviating menopausal symptoms.

In addition to clinical duties, Gracia Tharp has served on the Washington East Asian Medicine Association’s Board of Directors where she helped implement a pilot project to include acupuncture as a covered modality for Labor & Industry claims specific to low back pain. She is a passionate spokesperson for the integrative field and a frequent guest lecturer to the community and area medical providers.

Gracia believes the most successful patient outcomes occur when acupuncture is combined with other modalities. She closely collaborates treatment plans with her clinical colleagues to provide comprehensive yet individualized care.