Dr. Karen Coshow grew up in the Seattle area, completing her Bachelor's degree in Classics and pre-medical studies at the University of Washington. During her undergraduate education she worked for her mentor, Seattle pediatrician Dr. Malcolm Garber. She then attended the prestigious National College of Naturopathic Medicine in Portland, Oregon and completed a four-year graduate Naturopathic Medical program. She was awarded her Doctorate in Naturopathic Medicine in 1997 and became licensed to practice in Washington. Since then Dr. Coshow has practiced Naturopathic Medicine in Mercer Island and Seattle. She has worked extensively in pediatrics, adolescent medicine and adult primary care. In addition to her private practice, she worked for many years with underserved populations at Outside-In community clinic in Portland and City Doc in Seattle, a free clinic for homeless and uninsured teens provided through the University of Washington and Seattle Children's Hospital and Medical Center.
Dr. Coshow provides primary care and Naturopathic treatment using current standards of care to guide screening schedules and diagnostic pathways, and integrates conventional and natural treatment options to best serve her patients. She provides the same "concierge" care to all patients, regardless of insurance coverage or ability to pay. Her goal is to develop an effective and reasonable treatment plan with each patient, and to avoid as much as possible long-term use of medications, including supplements. She prescribes herbal medicine, including custom-blended dry herb tea mixtures, tinctures, powders and encapsulated herbs. Most of the time she uses whole-herb medicine, always organically grown or sustainably wild-crafted. Homeopathy and flower essences are another important modality in her practice, used for clearing subtle physiologic or energetic blockages and dysfunctional emotional patterns that are leading to disease and distress. She prescribes bioidentical hormone replacement therapy as indicated, including estrogens, progesterone, thyroid hormones and testosterone. Nutritional supplements are utilized as needed for addressing deficiencies or as indicated for specific health problems; examples of this include essential fatty acids, magnesium or vitamin D. Antibiotics, pharmaceutical blood pressure medicines, antidepressants and diabetes medicines are also used when necessary. Naturopaths in Washington cannot prescribe narcotic pain medications (except codeine), benzodiazepines or hypnotic sleep medications such as Ambien, or stimulant medications such as Adderall or dexadrine.
In addition to these "internal" treatments, Dr. Coshow is experienced in trigger point injections, neural prolotherapy and craniosacral therapy.
Dr. Coshow is a preferred provider with Regence, Premera, KPS, Moda and First Choice. Please note that not all plans cover Naturopathic Medicine, so check your benefits to verify coverage.
Dr. Coshow also accepts PIP claims regarding motor vehicle accidents.
She is not a preferred provider with Aetna, Cigna, Group Health, United Healthcare, Medicaid or Medicare. This includes any insurance companies that may use these carriers as administrators. At this time we don't send claims to out-of-network carriers, but we will gladly provide a service/payment summary for you to submit.
Dr. Coshow does not accept Labor and Industries claims but Dr. Londergan does if they are related to musculoskeletal injury.
Dr. Coshow’s office visit fees are based on the amount of time required and/or the medical complexity of the situation. All copays, supplements and non-covered services must be paid for at the time of service. We accept cash, personal checks, Visa and Mastercard.
If you cannot pay, please let us know.
Please note, we cannot give discounts on services performed outside the office (labs, imaging) or on supplements.