PERSONALIZED PRIMARY CARE FOR MIDLIFE
A direct primary care clinic offering whole-person medical support, grounded in evidence-based care and deep respect for individuality.
In-clinic care in Bremerton, Washington · Telehealth across WA
Why Choose TideShift Health?
Unhurried care. Real access. Better health.
Personalized Care
Care starts with listening. We take time to understand your health story through unhurried visits and shape care around what matters most to you.
Direct Access
You’ll have direct access to your provider via secure text or portal messaging—so questions and concerns don’t have to wait for your next visit.
Integrated Care
Primary care, hormone support, metabolic health, and mental well-being—connected and coordinated around you.
Midlife Primary Care
TideShift Health is a relationship-based medical practice focused on the unique health needs of midlife.
We blend comprehensive primary care with expertise in metabolic health, menopause and hormone support, and mental well-being — recognizing that these areas are deeply connected.
Whether you’re looking for ongoing primary care or focused support in a specific area, we meet you where you are and tailor care to your needs.
I’m Carla Walter, PA-C
I’m a PA and the founder of TideShift Health — and also a mom, wife, coffee lover, and believer in meaningful conversations.
At the heart of TideShift Health is something simple: a love of medicine and the people it serves. I feel honored to be trusted with my patients’ health and invited into their stories.
After years in traditional practice, I saw firsthand the limits of a system that often prioritizes productivity and insurance requirements over time and connection. It became clear that my patients and I were both seeking a more connected and thoughtful experience of care.
I founded TideShift Health to practice medicine differently — with time to slow down, dig deeper, and prioritize what matters most to you.
Here, you’ll have a consistent provider who knows you, with care guided by your priorities. I look forward to caring for you.
Areas of Care
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Primary Care
Relationship‑based primary care with longer visits, direct access, and personalized support for your everyday health needs. -
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Perimenopause & Menopause
Thoughtful, evidence‑based care to support you through hormonal changes, symptoms, and long‑term health during perimenopause and menopause.
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Weight & Metabolic Care
Compassionate, medically guided weight & metabolic care designed around your health and well‑being—not a number on the scale—respecting your body at every size. -
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Mental Health
Supportive care for anxiety, depression, stress, and emotional well‑being, integrated into your overall primary care.
