Helen Young, MD

Location: Anacortes

Susan Hill, ARNP

Location: Anacortes & La Conner

Board Certified by the National Commission on the Certification of Physician Assistants, Marcy provides primary care in Internal and Family Medicine, including women’s health and pediatrics. Marcy has served the La Conner community since 1999.

Board Certified as a Family Nurse Practitioner, Susan completed her Masters in Nursing from the University of Washington and enjoys working with people of all ages. In her practice she specializes in chronic disease management, care to the acutely ill and women’s health.​

Our Scope of Practice

Internal Medicine is a broad primary care specialty which focuses on adult medical problems. We diagnose and treat conditions of the heart, lungs, kidneys, GI system, endocrine system and musculoskeletal system. We offer screening for patients at risk for cancers including breast cancer, cervical cancer (Pap smear), prostate cancer, and colorectal cancer among others. We handle routine medical issues as well as complicated problems and can care for most of our patients’ needs. If at any time your provider is unavailable, you might be asked to schedule with one of our other providers. We will always refer you to a specialist when needed.

Internists have intensive care and hospital medicine training so we provide both inpatient (hospital) and office care. In the event you are hospitalized locally, one of our providers will see you in the hospital. 

Certified by the American Board of Internal Medicine, Dr. Horesh practices general Internal Medicine and cares for patients in both office and hospital settings. He handles a wide range of acute and chronic medical problems as well as offering preventative care.

Caitlin Desch, PA-C

Location: Anacortes

Physician Assistants and Nurse Practitioners


Certified physician assistants (PA-C) and advanced practice registered nurses (ARNP) are healthcare professionals licensed to practice medicine in conjunction with the physicians as part of a medical team. The primary difference between physician assistants and nurse practitioners is that the latter are registered nurses and are independently licensed; however, both conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventative care, perform minor procedures, and write prescriptions.

Certified by the American Board of Internal Medicine, Dr. Young practices the full spectrum of primary care, including women’s health, through acute inpatient and critical care.

Certified by the American Board of Internal Medicine, Dr. Kotal enjoys the spectrum of care from preventative medicine to treating complex medical problems, in young adults to the elderly, and is comfortable helping patients with a wide variety of medical issues.

Allen Horesh, MD

Location: Anacortes & La Conner

Charles Kotal, MD

Location: Anacortes & La Conner

Island Internal Medicine

La Conner Medical Center

Call Us:  360.293.4343

Marcy Shapley, PA-C

Location: La Conner

Certified by the American Board of Internal Medicine, Dr. Murray has particular interest and expertise in diseases of the heart, lungs, kidneys, gastrointestinal system, endocrine system, and  problems with arthritis. His specialty is adult patients.

Board Certified by the National Commission on the Certification of Physician Assistants, Caitlin provides primary care services at the Anacortes office. She enjoys working with patients on preventative care and chronic medical problems, as well as addressing acute issues. She spends her free time with her husband exploring the Pacific Northwest.

Bryan Murray, MD

Location: Anacortes & La Conner