Gregory (Ian) Spain, PA-C, MPH

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Gregory (Ian) Spain, PA-C, MPH

Gregory (Ian) Spain, PA-C, MPH

  • Physician Assistant, Fred Hutch

Medical Oncology

“I see patients for acute problems when they can’t get in to see their usual team. When I walk into the room, I feel like they are looking for somebody who is compassionate and thorough and who listens to them.”

— Ian Spain

What brought you to Fred Hutch and this role?

My first job out of school was in a community oncology practice in rural Florida, where I saw every type of cancer. Then I made the switch to emergency medicine, which I did for nine years. This position is a bit of both. I see patients I’ve often never met before for an acute problem, and then I get to build a relationship and help them feel better, which I really like.

What do you value about your work?

There is a lot to learn, which is true anywhere in medicine, but especially in oncology. You can dig deep and keep going, and there will always be more to dive into. I like this academic part of it, along with the relationships we get to develop with patients.

Provider Background

Area of clinical practice

Acute Care oncology

I am a certified physician assistant who sees patients at the South Lake Union Clinic and UW Medical Center – Montlake.

I work on a team that has several roles at Fred Hutch. We run a clinic that patients can be referred to for acute illnesses related to their treatment or underlying disease. We also provide evaluation and treatment for patients who have an acute problem while visiting the clinic to see their provider or while receiving their treatment.



Education, Experience and Certifications

Undergraduate Degree

The College of William and Mary

Medical Degree

Emory University School of Medicine, Physician Assistant Program


MPH, Emory University - Rollins School of Public Health

Clinical Trials

We make promising new treatments available to you through studies called clinical trials led by Fred Hutch doctors. Many of these trials at Fred Hutch have led to FDA-approved treatments and have improved standards of care globally. Together, you and your doctor can decide if a study is right for you.

Your Care Team

At Fred Hutch, you receive care from a team of providers with extensive experience in your disease. Your team includes doctors, a patient care coordinator, a registered nurse, an advanced practice provider and others, based on your needs. You also have access to experts like nutritionists, social workers, acupuncturists, psychiatrists and more who specialize in supporting people with cancer or blood disorders.


Fred Hutch accepts most national private health insurance plans as well as Medicare. We also accept Medicaid for people from Washington, Alaska, Montana and Idaho. We are working to ensure that everyone, no matter what their financial situation, has access to the care they need.