Nehalem Bay Health District Board Meeting

Submitted By: nbhdistrict@gmail.com – Click to email about this post
PUBLIC NOTICE

Nehalem Bay Health District
Regular Meeting
7:00 PM, Wednesday, October 12, 2022
Location: Zoom Remote Video Conferencing

This Meeting is open to the public.
The Zoom link is below for members of the public who wish to attend
us02web.zoom.us/j/83517178834
For general questions or to request a meeting packet contact:
nbhdistrict@gmail.com

Agenda

7:00 PM NBHD Regular Meeting Agenda

I. Call to order

II. Nehalem Bay Health District’s DEI Statement

III. Consent Agenda:
A. Approval of NBHD September minutes
B. CEO’s September financial report

IV. Public comment

V. New Business
A. Board administrative items
B. CEO project update

VI. Old Business
A. Website buildout and content update
B. General update on Land use project, upper and lower properties
C. Discussion of board expansion and consideration of proposed resolution 2022-06
D. Proposed CEO salary increase
E. Discussion and approval of Material and Service budget revision resolution 2022-08

Adjournment

Wheeler “Looking Back”

Submitted By: Wheelervisionadvocates@gmail.com – Click to email about this post
Looking Back
In 1776 a group of visionaries put into law, a document to guide a republic.
Just over two centuries later, in a small coastal town, another group were formulating their own important vision for the government of their community. They were looking for ways to preserve the special character of the town that past generations had come to cherish. They called their work The Wheeler Vision.
For those who have forgotten what the Wheeler Vision Plan is, (or perhaps never knew?) here’s a reminder….
Wheeler citizens felt that they needed to find a way to incorporate important priorities into our city’s governing documents in order to preserve the beauty and livability of the town and prevent the sort of aesthetic and environmental decline that had taken place in so many coastal communities. It took two years of citizens involvement and community surveys to accumulate the data and finalize the document, which was called the Wheeler Vision Plan. The work that had begun in 2001 was finally incorporated and adopted into laws in 2012. Some of the provisions in the plan include:
i) Preserve Small Town Atmosphere
ii) No high density development – Limit number of units in any multi-dwelling to 10 or less iii) Protect natural beauty
Existing view of bay must be considered to be of real economic value to citizens and community iv) Improve Livability
v) 24 ft Height Limit on all buildings
It ensured that future developments be in proportion to the size of the town.
We are, after all, a town of just over 450 people. A large building that might be entirely appropriate for the commercial environment of another town, would not necessarily be a good fit for Wheeler.
Four years ago a proposal for a three story 44-room hotel and a 110-seat restaurant was brought before the community. This proposed development caused quite a stir in Wheeler not only because it far exceeded the city laws, but also because the property’s location happened to be the focal point of our little town and whatever development happens there will have a huge impact on the community. The spectacular waterfront view is why Wheeler has been dubbed “The Little Town with the Million Dollar View”. In 2019, the significant majority of community testimony confirmed that we citizens wanted to see development in our town which conformed to the provisions specified in our Wheeler Vision Document and is in alignment with the character of Wheeler.
Although the previous council of that time, discounted the authority of the Vision Plan and gave the developer the go-ahead, (the height of the hotel was reduced and the number of rooms to 28) Oregon’s Land Use Board of Appeals overturned their decision precisely because they had ignored the Vision Plan as a governing document.
An easy solution would have been for the developer to adjust his plan to fit within the parameters of the city’s governing documents. Unfortunately, this was not the case.
Over the past two years, Mayor Honeycutt and the present council have repeatedly met with the developer to discuss the requirements for an acceptable application that would conform to the laws of our town. Sadly his application for the 28 -room hotel and fish processing plant with apartments and a 110 seat restaurant remain to this day exactly the same … even though his application has been submitted to and rejected by LUBA twice and is currently in review for a 3rd time.
Our little town retains a uniqueness that isn’t found in many other places. And yes, we know that development must happen …. Indeed, it is necessary for our economy, but how we go about it is the deciding factor on whether we improve on or denigrate what we have. We only get one chance to do it right for future generations.
Just under 4 years ago, it is possible that you or your neighbor were one of the 140 people who signed a petition requesting that the city representatives follow the Wheeler Vision Plan. If you still support the Vision Plan or have an interest in wanting to keep the benefits of small town livability for all citizens and businesses, please vote for those candidates who support development that conforms to, and honors the letter and spirit of the Vision Plan.

WHEELER VISION ADVOCATES September 2022

Vision Advocates is a group of citizens committed to seeing the Vision of the people of Wheeler used to guide our town forward as the people of Wheeler intended when this plan was established and written into law.

Mark Kuestner Community Matters Hoffman Center Wonder Garden

Submitted By: MarkForCouncil2022@gmail.com – Click to email about this post
Mark’s Community Matters: Hoffman Center’s Wonder Garden

The Hoffman Center for the Arts Wonder Garden has given me the perfect outlet to combine my passions for gardening and community service.

Watch my video at https://youtu.be/8FLVeAc-0mQ to hear my thoughts on volunteerism.

I’m proud to work on this public garden with director Ketzel Levine and am even more proud to share her endorsement with you.

Please visit my website www.MarkForCouncil2022.com to learn more about me and to submit your own endorsement. I ask for your vote on November 8.

Missing Kitty

Submitted By: dkoscheski@nehalemtel.net – Click to email about this post
Grateful Thanks from Bob & I to whomever delivered our deceased Lena the Kitty’s remains to the top of our driveway. We found her there yesterday.
Lena, born feral in the spring of 2008 and her brother Oscar came into our lives that summer thanks to United Paws, Tillamook Co.
The last time we saw Lena was early August. By mid September I finally accepted that she was never coming home.
We appreciate that we can finally say our good-byes and give her the respect she deserves.
Lena was a good sister to Oscar, a companion to some of our kitty progressive dogs ( we have been adopting Senior dogs for many years, so there have been several our cats have shared our home with), her pet sitter Auntie Ann and to us. Whether she was inside or out, she would come hug our legs to let us know she was there and wanted affection.
Lena was a cautious kitty, a fantastic hunter and a constant companion. Our home, property and likely a large portion of the neighborhood benefitted from her small rodent hunting skills.
We miss her.
Thank You,
Dee Koscheski

Lance and Tammi’s gofundme thank you BBQ

Submitted By: goatherd@nehalemtel.net – Click to email about this post
Hello wonderful donor of Lance and Tammi’s gofundme campaign.
It’s come to our attention that some of you haven’t received the thank you messages and updates from gofundme. So we wanted to make one last effort to let you know that Lance and Tammi along with the White Clover grange are hosting a thank you BBQ on October 15th at 4 pm.
Please join us!
Bring a side dish to share. We will be providing bbq (meat provided by Lance’s Farm Vittles and prepared by Roast Town BBQ) and non alcoholic drinks.
Please RSVP to goatherd@nehalemtel.net. And if you’ve already received the gofundme update email and have responded, Thank you! We’ll see you at the BBQ
Yours,
Jennifer Childress

PS You can always go to the gofundme site to read all the updates and thank yous.
PPS Here are some recent photos

Mark Explains Why Manzanita Needs Revenue Diversification

Submitted By: MarkForCouncil2022@gmail.com – Click to email about this post
These three charts illustrate sharply how dependent Manzanita is on Transient Lodging Taxes (TLT) to fund our government expenses, in large part due to our very low property tax rate.

Figure 1 shows property tax rates for selected cities: all have higher property tax rates than Manzanita. Figure 2 shows how reliant Manzanita is on visitors to fund general government operations. Figure 3 shows all revenues for FY2021, highlighting how disproportionate the TLT component is.

Our City Manager has already addressed cost-recovery concerns for permits. She is now pursuing increasing System Development Charges (SDCs) for infrastructure as she explained in great detail at the “Envision Manzanita” session on August 28th. It’s worth listening to the presentation on the City’s website to learn more about this. (https://youtu.be/cN1eVZ0vG7w) The next Council will also need to work on detailed plans that will help the City charge appropriate fees to support maintenance (for example, a Transportation Plan that supports road maintenance fees).

If you elect me to Manzanita City Council, I will pursue alternative funding sources to lessen our financial dependence on visitors.

This is Mark Kuestner and I ask for your vote on November 8. Visit my website, www.MarkForCouncil2022.com

Reference: “Manzanita Today,” is a free, fact-based, non-partisan monthly newsletter that summarizes City meetings and shares stories about our town’s history and other public interest articles. This newsletter is not affiliated with the City in any way. Email ManzanitaToday@gmail.com to learn more.

Family Game Night Saturday October 15th

Submitted By: Christy@cosmichealingnw.com – Click to email about this post
Hello!!!
After a few bumpy years, Rising Hearts Studio is ready to get back to its original Mission and Intention of creating Community and Healing by sponsoring Family Game Night! Saturday October 15th from 6-8PM. This is a free community event open to all ages.
Bring your family and friends! Share some fun with your community by playing games together. You can bring your own favorite game or use one of ours. Popcorn and drinks provided. Sponsored by Cosmic Healing NW and Rising Hearts Studio. Free!! Donations welcomed. Call (503) 800-1092 or email Christy@cosmichealingnw.com for more info
Hope to see you there!!!!

Join the conversation at MooVoter

Submitted By: moovoter@gmail.com – Click to email about this post
Question * Endorse * Oppose * Observe

All candidates for City Council or Mayor for Manzanita, Nehalem, Wheeler, Rockaway, Garibaldi, Bay City, Tillamook, and Oceanside have individual threads up on MooVoter.

All Measures within the county also have threads.

There are lots of links to additional information.

Ballots drop on October 19th, 2022

Join the conversation at facebook.com/groups/moovoter

Mark Explains Why Manzanita Needs Revenue Diversification

Submitted By: MarkForCouncil2022@gmail.com – Click to email about this post
These three charts illustrate sharply how dependent Manzanita is on Transient Lodging Taxes (TLT) to fund our government expenses, in large part due to our very low property tax rate.

Figure 1 shows property tax rates for selected cities: all have higher property tax rates than Manzanita. Figure 2 shows how reliant Manzanita is on visitors to fund general government operations. Figure 3 shows all revenues for FY2021, highlighting how disproportionate the TLT component is.

Our City Manager has already addressed cost-recovery concerns for permits. She is now pursuing increasing System Development Charges (SDCs) for infrastructure as she explained in great detail at the “Envision Manzanita” session on August 28th. It’s worth listening to the presentation on the City’s website to learn more about this. (https://youtu.be/cN1eVZ0vG7w). The next Council will also need to work on detailed plans that will help the City charge appropriate fees to support maintenance (for example, a Transportation Plan that supports road maintenance).

If you elect me to Manzanita City Council, I will pursue alternative funding sources to lessen our financial dependence on visitors.

This is Mark Kuestner and I ask for your vote on November 8. Visit my website, www.MarkForCouncil2022.com

Reference: “Manzanita Today,” is a free, fact-based, non-partisan monthly newsletter that summarizes City meetings and shares stories about our town’s history and other public interest articles. This newsletter is not affiliated with the City in any way. Email ManzanitaToday@gmail.com to learn more.

Linda Kozlowski Comments on Short Term Rentals

Submitted By: Linda.Kozlowski@gmail.com – Click to email about this post
Managing Short Term Rental I’m Linda Kozlowski and I’m running for re-election to the Manzanita City Council.

In 1998 under former City Manager Jerry Taylor, the City of Manzanita capped the number of Short Term Rentals (STR) at 17.5% of homes in residential zones. As our community has grown the number of STRs has also grown, especially in areas near the beach where STR density has affected neighborhood livability.

With the increasing number of visitors to our community, the Council established a STR Workgroup to identify key factors to address livability. The Workgroup did a survey, held public meetings, and engaged in discussions about how to best live comfortably with visitors in our neighborhoods. They made specific recommendations for managing noise, parking, overcrowded vacation rentals, and the response time for reported problems. The Council agreed with those recommendations and passed a major revision of the STR Ordinance 10-3 that provides the City with the tools to better manage STRs.

Ordinance 10-3: ci.manzanita.or.us/wp-content/uploads/2021/10/Ordinance-10-03-STR-regulations-revised-09.08.2021.pdf

Considering the need to balance management of STRs with the current importance of STR tax revenue to the City’s financial viability, the Council implemented the recommendation to form a STR standing committee, only the third standing committee in the City. The other two standing committees are the Planning Commission and the Budget Committee.

In the April 6th meeting this year, the Council placed a 36-month moratorium to cap new STR licenses (230) in the residential zones. We will continue to consider solutions to address STR density. The financial dilemma facing the City is that because we have almost the lowest tax rate in the state, the City receives less than $226,000 per year from our property taxes. In contrast, VISITORS contribute $1,200,000 in revenue (53% of the General Fund) by paying the STR tax.

It is vital for us to continue to manage STRs, knowing that this tourist lodging tax contributes significantly to our budget. A priority for the upcoming Council is to determine if there are other revenue sources that could lessen our reliance on STRs.

I feel strongly that STR management is vital for the livability of our community, and I look forward to continuing this important work. I am asking for your vote on November 8.

You can reach me at Linda.Kozlowski@gmail.com. Visit my website at www.LindaforManzanita.com

Jeff’s honey/syrup booth RETURNS to Wheeler Tuesday (10/11)

Submitted By: jwmerc@gmail.com – Click to email about this post
Hi folks – Jeff and the JW Merc “roadside raw honey/real VT maple syrup pop-up booth” will be back in WHEELER this coming TUESDAY OCTOBER 11TH (yes – 2022) from at least 12-4:30 pm. Location is at the corner of Hwy 101/Rector in front of the building where you find the fabulous Pelican & Piper store (across from the train stop and boat launch). Regional bee pollen will be available – two sizes to choose from. Raw/local raspberry blossom honey will be there in pints ($14) & quarts ($25) – and there is just one half-gallon ($50) and one full gallon ($95 – yes – that’s where they are now) available. Jeff will have three sizes of raw buckwheat honey – and this will be the FINAL opportunity to get any of the spectacular Old Blue raw honeys (this label is discontinuing their efforts) – $18 each or two for $35. Pre-orders HIGHLY RECOMMENDED – and please – if you submit a pre-order then either don’t want or can’t be there to accept it do let us know so we can offer it to the next person – thanks in advance. Contact Jeff directly (via text to his cell: 208-424-0042 – or by e-mail to jwmerc@gmail.com – or through the JW Merc Facebook page) See you on TUESDAY in WHEELER!!! jw

TCCC Accepting Grant Applications for 2023

Submitted By: rthollo@yahoo.com – Click to email about this post
Tillamook County Cultural Coalition (TCCC)
Grant Application Workshop and Application Information
Grant Deadline: November 15, 2022

FY23 Tillamook County Cultural Coalition Grants Available
TCCC, on behalf of the Oregon Cultural Trust, is soliciting requests from Tillamook County citizens and organizations interested in obtaining grant funding to develop projects that celebrate the arts, humanities, and heritage of our county.

To be considered for an FY23 TCCC Grant, projects must address one or more of the following: cultural education, community art, heritage, the environment, and/or traditions.

To be eligible, grant applicants must be an individual(s), a non-profit organization, or a governmental organization. Individuals must be residents of Tillamook County and organizations must maintain registered headquarters in Tillamook County. Priority will be given to activities that will benefit a significant number of Tillamook County residents.

For questions or more information please join the Grant Writing Workshop on Oct. 12@6pm.
RSVP tillamookccc@gmail.com

For a downloadable Grant Application, please visit:
www.tcpm.org/tillamook-co-cultural-coalition.html

Call for Artwork

Submitted By: kileyk@ncrdnehalem.org – Click to email about this post
Call for work. NCRD’s November show will be “Something New”. If you’ve tried out a new medium or technique, a new color palette or just gotten tired of painting the same old thing, this is your show.

Each artist will be allowed three framed and ready-to-hang two-dimensional works. Picture wires are the hanger of choice.

Intake will be Saturday, Oct. 29 from 10am till 1 pm. For further information, email Jane at Janek@ncrdnehalem.org.

Self discovery

Submitted By: robbro@coastwifi.com – Click to email about this post
I will be resuming the gatherings on Thursday morningsBecome at 10 AM in the fireside room at Ncrd beginning October 6. We will be approaching self discovery using exercises in physical relaxation too to reconnect ourselves with the body, working with sensation to become familiar with the bodies basic way of communicating in this approach we do not need to take on any new beliefs, and some old beliefs will be dissolved in the process, so come and join in this adventure of self discovery please let me know by Email if you are interested thank you Bob

Forest ocean property care licensed general contractor

Submitted By: Forestoceanpropertycare@gmail.com – Click to email about this post
Forest ocean property care licensed general contractor were now taking on new clients for the fall season are services include. pressure washing, gutter cleaning, debris haul, tree and shrub pruning ,lot clearing ,lawn mowing ,weed control ,repair and replacement of decks and fences,roofing,siding general home repair handyman services,replacement of lawns ,regraveling driveways ,give us a call for a free home inspection find out how we can keep your home beautiful protected from the elements and save you from costly repairs Call text or email Johnathan at 5037172253 or go to Forestoceanpropertycare.com Forestoceanpropertycare@gmail.com license bonded insured ccb 235789

Mark Gives a Shout Out to Manzanita City Staff

Submitted By: MarkForCouncil2022@gmail.com – Click to email about this post
Manzanita depends on volunteers to help run our city. Not only are our City Councilors and Mayor volunteers, but the Planning Commission, the Short Term Rental Committee, the Budget Committee and other ad hoc groups all are made up of volunteers. We are able to function as a city so well because these dedicated volunteers are supported by a skilled and dedicated professional city staff.

We are incredibly lucky to have a talented and energetic Manzanita City Manager in Leila Aman. She in turn, has a staff to be proud of:

If there’s a broken water main, then Public Works jumps into action – just last week Dan Weitzel rushed down lickety-split, and turned off the flow of water into the Hoffman Center’s Wonder Garden when our main water line ruptured.

If there are STR license or ordinance issues, then Judy Wilson is the person to turn to for help. Making sure our local building codes are observed, Scott Gebhart can be seen all over town doing inspections. If you have questions about city finance, Nina Aiello provides the facts.

And our police department is one to be proud of, taking care of us, and doing it with professionalism and panache!

This combination of professionalism and volunteerism makes Manzanita the amazing town it is and I’m proud to be part of it.

I’m Mark Kuestner and I ask you to choose me as one of your City Councilors. I’d love to be part of this team. Please vote for me in November.

River Community Meditation

Submitted By: jettkeyser@gmail.com – Click to email about this post
We meet each Wednesday at St Catherine’s Sanctuary

…next to the Hope Chest and near the Shell Station on 101…

We meet 6:00 pm until about 730

We are an open, interfaith, non-denominational gathering studying and practicing grounded in buddhist inspiration and practice…

This is offered free to the community…

You are welcome to join us.

Vision Advocates for Wheeler Oregon

Submitted By: wheelervisionadvocates@gmail.com – Click to email about this post
Vision Advocates is a citizen group focused on implementing the Wheeler Vision Plan.  The Vision Plan is the voice of the citizen. It is a legally binding document that is used to direct our leaders on what elements to focus on for decision making; now, and in the future.
You have subscribed in the past to the Citizens for Responsible Development – which was focused on Development only. This new distribution group is now focused on all elements in the Vision. 
Please watch your email for Vision Advocates in the next few days. 
The Wheeler Vision Plan covers many topics, which are listed in order of emphasis:
Protect Natural Beauty
Preserve Small Town Atmosphere 
Keep town Safe & Functional 
Improve Livability of Wheeler 
Support a Vital Economy 
Enhance Citizen Enjoyment 
The Vision Plan  is not just about development; indeed it is about how we manage our town and the resources that are available to us.
Add wheelervisionadvocates@gmail.com to your contacts, so it does not end up in your spam folder.
If you prefer to unsubscribe to these messages please reply “Unsubscribe”–
Thank you,
Wheeler Vision Advocates

Mayerle for Manzanita: Who Pays for Growth?

Submitted By: mayerleformanzanita@gmail.com – Click to email about this post
Continuing my ongoing process of building relationships with a network of experts, so far this week, I’ll be meeting with Manzanita’s Chief of Police Erik Harth, City Manager Leila Aman, and an additional member of the planning commission. I’ll also be attending the City Hall Project Town Hall.

This networking has proved to be more than fruitful—I’ve listened to a multitude of concerns and ideas and have gathered lots of facts. One that stands out is about System Development Charges (SDCs) and how they work, and their potential to create substantial revenue for the city.

SDCs are one-time charges that are assessed on new developments. In Manzanita, these are typically single-family homes. The charges pay for the cost of expanding public facilities, such as sewer, water, parks and streets. Growth creates additional infrastructure demands. SDCs provide a mechanism to support new growth in a community to pay for its share of infrastructure costs rather than relying on existing taxpayers or utility ratepayers.

The idea behind SDCs is that long-time residents have “paid their way” through property taxes, utility rates, and other means for the systems that are already in place. If those systems need to be expanded to accommodate growth, it is not paid for at the expense of the existing population.

Most cities increase their SDCs annually to account for inflation. One tool a city can use is the Engineering News Review Construction Cost Index, which factors in material and labor increases.

Here is when Manzanita last updated its SDCs:

Water System – 2015
Storm Drain – 1996
Park -1996
Streets – never adopted

Since 2015, more than 150 new single-family homes have been built in Manzanita, and the city has potentially lost more than a million dollars. Go back 15 to18 years, and that figure increases substantially. It continues to increase each and every month. These development fees are lost forever and can never be recovered.

As a result, more of these respective projects will now be borne by residents. In addition, because existing SDCs have not been annually adjusted for inflation, fewer actual dollars are being collected to pay for current and future projects. I believe existing residents and homeowners would have little opposition to the city imposing appropriate SDCs on new development to pay for infrastructure. I support updating our existing SDCs and exploring options to include street SDCs.

I’m Brad Mayerle, and I’m running for Manzanita City Council. Continue to follow me on the campaign trail to learn how I’m working to earn your vote, not just asking for it. Read my daily blog: www.mayerleformanzanita.com/read-my-daily-blog

Mark Talks about Workforce Housing

Submitted By: MarkForCouncil2022@gmail.com – Click to email about this post
When I think about saying “Let’s go out for dinner,” I’m reminded that so many restaurants have scaled back their operations. The crux of this issue is that we just don’t have places where workers can afford to live.

What can we do about this?

I think we should keep pursuing the tax incentive program the city has already initiated.

I also think we should craft policies that would allow ADUs for long-term housing, with incentives that encourage affordable rents for long-term rentals only.

Check out my video https://youtu.be/epPzOrDMwkM to hear more.

I’m Mark Kuestner, asking you to vote for me on November 8. Learn more about me at www.MarkForCouncil2022.com.

If you support my campaign, please submit your endorsement on my website. Thank you!

Rinehart Clinic seeks new Board Members (plus flu/booster clinic and wellness classes)

Submitted By: lhoffhines@nehalembayhealth.org – Click to email about this post
Updates from the Rinehart Clinic (soon to be known as Nehalem Bay Health Center & Pharmacy) in Wheeler:

Do you want to help Rinehart Clinic plan its growing future? The Rinehart Clinic Board of Directors is seeking additional volunteers to join the board and help support the clinic’s mission of delivering compassionate team-based health care and wellness education to improve the lives of ALL in our community.

The board seeks people with an enthusiasm for volunteering and who also may have expertise in fundraising, construction, and design. Candidates need to reside in Rinehart Clinic’s service area (from Manzanita to Tillamook) and the current Board of Directors has a strong interest in broadening the board’s membership so that it is more representative of the community Rinehart Clinic serves.

For more information, please visit our website: www.rinehartclinic.org/bod-seeks-new-members
________

Flu/COVID Booster Clinic at NCRD October 13

Rinehart Clinic is coordinating with NCRD to hold a flu & booster vaccine clinic:

Thursday, October 13, 2022
9 am – 4 pm (with a break from 12 to 1 pm)
at NCRD, 36155 9th Street, Nehalem

We will be offering flu shots and the new bivalent Moderna booster vaccine. Please call 1-800-368-5182, Ext. 100 to schedule an appointment for your flu shot, your booster, or both! (We do ask for your patience when you call. Our scheduling staff is busy working to accommodate the demand and it may be a day or two before you receive a call back.)

Find details here: www.rinehartclinic.org/flu-covid-boosters
________

Dr. Andersen’s Intro to Fasting workshop returns in October

Are you curious about fasting? Dr. Eli Andersen (Rinehart Clinic’s Doctor of Naturopathic Medicine) is teaching a free two-week workshop that will cover the health benefits of fasting, the difference between the various types of fasts, and what to expect during a fast.

Wednesdays, October 12 & 19 from 2-3:30 pm at NCRD (North County Recreation District)

This class is free and open to everyone, but space is limited and there are just a few spots left. Register online at www.rinehartclinic.org/fasting-workshop
________

For more on what’s happening at Rinehart Clinic & Pharmacy, read our latest newsletter: mailchi.mp/05f32df81918/september-2022-rinehart-clinic-newsletter

Rinehart Clinic & Pharmacy
rinehartclinic.org
1-800-368-5182