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Who We ARE

Silver Lining Adjustments opened in 2008 as an administrative services company focused on helping those experiencing troublesome interactions with insurance companies. In 2012, SLA relocated from Arizona to the beautiful Pacific Northwest where we began to focus on the plight of Alternative Care Providers. CAM Practitioners in private practice face a unique set of challenges when attempting to navigate the world of insurance.  We believe that alternative medicine providers deserve trustworthy, diligent, and honest administrative professionals to support the valuable work they perform.


SLA provides effective processes which create a seamless, dependable procedure for accounts receivable management. We are always searching for the Silver Lining around the dark cloud of medical billing with consistent process refinement ensuring the most effective systems for our clients.


Tameka Thompson  |  Owner
Medical Billing Account Manager
Course Instructor: Business of Being a Doctor



Tameka started in the insurance industry in 2006 following her BS in Justice Studies and Social Inquiry from Arizona State University. Life brought her to Portland, Oregon in 2011 where she was able to complete her Masters of International Business and began managing an alternative care clinic in the area. After assisting with a rapid expansion, she departed from the clinic and Medical Billing became her main career focus. Outside of Silver Lining, Tameka enjoys being with her family, home improvement projects, and participating in local events.


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Gwen Whitney 

Virtual Administrative Manager
Medical Billing Account Manager



Gwen is the newest addition to the Silver Lining Adjustments team. While in college, she found her niche working in healthcare and has spent the last six years in that field, first as a receptionist and then as office manager for a busy and successful practice. Life presented her with the exciting opportunity to make the transition to SLA and focus on medical billing and it felt like the perfect fit for her future. She is experienced with the ins and outs of clinical operations, insurance, patient care, navigating fast-paced environments and shows genuine care and concern for both patients and colleagues.  When she isn't working, Gwen enjoys reading, baking, and spending time with her family.

Dr. Kacy Borba Spann

Course Instructor: Business of Being a Doctor 


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Dr. Kacy practices Naturopathic and Classical Chinese medicine grounded in a deep belief that the body is wise and can help guide you towards the image of health that best fits you. She has an incredible toolbox with many different modalities and approaches including: Western botanicals and Chinese herbs, nutraceuticals, prolotherapy, dietary and lifestyle recommendations, acupuncture, spinal and cranial manipulations, bodywork, Vitamin B injections, bio-identical hormones as well as the ability to draw bloodwork in-office for both traditional and speciality labs. She meets each patient where they are at and with no pretense or dogma whether new to this world or a wise elder. She will care for you with respect and dignity, reminding you, "it's your body, your choice."-- *Kacy Borba Spann, ND, LAc*

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