A Different Kind of Medical Practice
Most health care is rushed and reactive. People live longer, but many spend their last decade in poor health. We do it differently.
We blend traditional, longevity, and functional medicine. We look for root causes, not just symptoms. Visits are long and unhurried. You can reach your doctor between visits.
Our mission is simple: help you live a long and vital life. Told you are "fine" but you do not feel that way? Request a free discovery call.
The Practice Healthcare Professionals Choose
Many of our patients work in healthcare themselves, including physicians, nurses and pharmacists. They know the system from the inside, and they come to Evergreen for their own care and their families' care. They choose us for the same reasons you might: unhurried visits, in-depth testing and a plan built around them.

Meet Your Clinicians
Dr. Milani leads your functional medicine and hormone care. He is board-certified in anti-aging medicine (ABAAHP) and advanced hormone therapy (ABHRT). He is certified in longevity and functional medicine, completed a fellowship in adult and pediatric functional psychiatry, and is trained in heart attack and stroke prevention. Dr. Clark specializes in aesthetics, including NeoGen PSR and CellSound. We see patients by telehealth across Washington and Idaho. Aesthetics and procedures are done in person at our Garland Avenue office in Spokane. When you message us, a licensed clinician answers, not a health coach. Many clinics hand you off to coaches with no clinical training. Here, you always talk to a clinician who can read your labs and change your plan.
Specialties
Non-surgical skin tightening, body contouring, cold plasma for skin and scalp, facials, and 3D skin analysis.
Thinning hair, a wider part, or shedding after weight loss or illness. We find the cause, then treat it from several directions at once.
We treat the root cause of fatigue, inflammation, anxiety, depression, insomnia, and gut issues.
We treat the root causes of aging. The goal is to stay well and active longer.
Toxins cause many health problems. We help you clear them safely.
Losing weight is hard. We help you understand all of your options.
Preventing a first event or another one? We build a plan to lower your risk.
A slow thyroid can leave you tired, cold, and foggy. We test the whole thyroid, not just one number.
What Our Patients Say
Rated 5.0 on Google
“I have been a patient of Paul Milani since February of this year and highly recommend him. I greatly appreciate his attention to detail where my health is concerned.”
“Dr. Milani took the time to listen and address the root causes of my health concerns rather than just treating symptoms. The personalized approach, expertise, and genuine compassion made me feel supported every step of the way.”
“The doctor was knowledgeable, attentive, and took the time to listen and explain everything clearly. I appreciated his thoughtful, personalized approach and would highly recommend them.”
Visit the Spokane clinic
- Address
- 1717 W. Garland Ave, Suite C, Spokane, WA 99205
- Phone
- (509) 720-6314
- Hours
- Monday to Thursday, 9 a.m. to 5 p.m. Friday, 9 a.m. to 3 p.m.
Pricing
First visit: $275. It runs 1.5 to 3 hours.
Membership: $350 per month. Patients who need fewer check-ins may pay as little as $200 per month.
Members get 20% off all aesthetics procedures.
We do not bill insurance for visits or membership. Blood work and prescriptions can still go through your insurance. Other clinics charge tens of thousands of dollars up front for this level of care. Our membership covers a broad range of services for one monthly fee.
Frequently Asked Questions
What training do your clinicians have?
Drs. Milani and Clark are trained in anti-aging, longevity, functional, and regenerative medicine. Their focus areas are root-cause medicine, chronic disease prevention and care, and hormone health. They also practice functional psychiatry for adults and children. They treat the whole person.
What testing do you offer?
We offer standard blood panels and specialty functional medicine tests. This gives us a fuller picture of your health.
Do you take insurance?
Not for visits or membership. Insurance pays for short, high-volume visits, and that makes it hard to give the care we believe in. Opting out lets us keep visits long and stay in touch between them. Blood work and prescriptions are different — those can go through your insurance, or you can pay our cash price, which is often lower than a copay.
What does care cost?
A new patient visit is $275 and runs 1.5 to 3 hours. Membership is $350 per month. Pricing reflects how much support you need. Some patients pay as little as $200 per month.
What does membership include?
Unlimited doctor visits and check-ins at no extra cost. Same-day appointments when you need them. Unlimited portal messages, usually answered within the hour. Members also get discounts on supplements. They get 20% off aesthetics procedures. They get lower cash prices on lab work. Lab prices are often lower than a typical insurance copay.
Can this replace my primary care?
We suggest keeping a primary care doctor. Still, many of our patients use us in place of traditional primary care.
Still have questions?
Call or Text 509-720-6314 or email Care@evergreenmed.health.

Are We the Right Fit for You?
Schedule a free 15-minute call with a clinician. We will talk about your health and answer your questions. We serve adults in Washington and Idaho by telehealth.
