I support ambitious women, mothers and athletes with a wide range of health concerns and goals. You can find a full list here.

I specialize in…

• Hormone balance - PCOS, PMS, PMDD

• Fertility and pregnancy preparation

• Perimenopause

• Integrative approaches to mental health

• Perinatal mental health

• Autoimmunity and allergies

• Thyroid conditions

• Gut health

• Recovering from burnout and chronic stress.

The cost of working together depends on the program you choose. You can find all pricing here. Labs, supplements, and outside services are potential additional costs.

Unfortunately, medical insurance generally does not cover health education, health consulting, or coaching services. So, Confluence services are all self-pay. However, many of the people I work with use an HSA. You may also be eligible for tax deductions for services provided. At your request, we will happily provide you with a detailed billing summary that you may use for your taxes. Please consult with a certified public accountant for further information.

Telehealth visits: I work with individuals anywhere in the world.

In Person visits: White Salmon, WA, and Hood River, OR.

I'm a physician assistant of 15 years who started off in emergency and family medicine (first 10+ years of my career), and overlapping with that, I have been seeing private practice clients for the last 8 years, offering a whole-person, integrative approach to women’s health concerns.

I have specialized training in lifestyle medicine, perinatal mental health, menopause medicine, integrative and functional medicine, nutrition for pregnancy, postpartum and breastfeeding, mind-body tools and yoga, and group facilitation.

At its core, my approach is evidence-based lifestyle medicine with mental health and resiliency tools mixed in. It looks at the whole person, it’s integrated, and it’s deeply compassionate.

I provide a menu of high quality options for how to address your health needs, and you choose the path you’d like to take.

When we work together, I am in your corner, helping you navigate your health concerns, meet your health goals, and feel supported, heard, and seen in the process.

Schedule a free discovery call here. We’ll connect for 30 minutes to make sure it feels like a great fit and to get our work together started.

Our first appointment is 85 minutes, and the rest are 55 minutes. I choose to do long appointments so we’re never rushed and we can work thoughtfully on your health goals.

Google reviews can be found here and testimonials on my website can be found here.

You decide.

Choose from meeting once a month, twice a month, or weekly. More details can be found here.

Yes - I offer a wide range of conventional and functional medicine lab testing.

Yes, I have a wonderful network of skilled professionals and additional resources that I can recommend to help you make real progress on your health goals.

I may recommend services that include a range of behavioral and mental health therapies/resources, as well as a range of physical healthcare providers.

You deserve a team of caring professionals supporting you when you need it!

This is not a service I offer. I encourage everyone I work with to have an active primary care provider.

At this time, Confluence provides exceptional-quality health education and consulting by a highly trained physician assistant and integrative medicine practitioner. All health consultation services provided to you will consist of health education and recommendations that are intended to assist you and your health care provider in using natural and lifestyle supports to improve your health. These health education services are not intended to serve as a medical diagnosis or treatment of any kind.

Please note that while Amber Valenti Armstrong is a medical provider, in the context of our health education and consulting work together, no patient-provider relationship will be created. As noted above, Confluence consultation services are solely for educational purposes and to support you in creating better health.

This work is highly participatory.

In order to significantly benefit from your consultations, be prepared to make active changes in your nutrition and lifestyle habits to support your health, seek additional support, and try new things.

Yes, you are welcome to bring a friend or family member to your in-person or online appointments if having their companionship feels comfortable and supportive to you.

Your support system will be a key part of your success when making changes towards vibrant health, and I welcome their participation.

You will be at the helm, choosing the direction you go and what to take on first. I will provide you with ample resources and suggestions to help you feel truly supported as you make these changes. Together, we’ll help you identify and move past any barriers.

You are encouraged to claim your rightful place as the CEO of your own health and ask questions on any health-related topic.

You are welcome to get in touch with me directly here or have your patient schedule a free discovery call here.