Harlan Halma, MD
Harlan Halma, MD was born and raised in the Yakima Valley. After graduating from Michigan State University, Dr. Halma returned home to practice medicine and raise his family here in the Valley. He has been practicing medicine at Swofford & Halma Clinic for 20 years. He is board certified in family medicine as well as being a member of the American Academy of Family Medicine and the American Medical Association.
Blake Bond, MD
Blake Bond, MD was raised in St. Louis, Missouri. After graduating from medical school at Texas A&M University, he moved to Washington where he completed his residency training at Tacoma Family Medicine. While he has provided medical care in the Yakima Valley since 2014, he was honored to join the Swofford and Halma Clinic in October of 2017, where he provides care for the entire family, including high-risk pregnancy care and cesarean sections. He is board-certified in family medicine and belongs to multiple medical associations. In his spare time, he can be found perusing local farms for fresh produce and exploring the mountains with his wife and 2 dogs
Maricela Ramirez, PA-C
Maricela Ramirez, PA-C was born and raised here in the Yakima Valley. She attended Washington State University where she obtained a B.S. and later earned her MPAS at Heritage University. She is a nationally certified physician assistant and completed her clinical training locally in the Yakima Valley and Tri Cities. Maricela is proud to be a member of the team at the Swofford and Halma Clinic since August 2017. Her specialty is family care medicine and is bilingual, fluent in English and Spanish.
Ramon Perez Jr, PA-C
Ramon Perez Jr, PA-C was born in Southern California and raised in the Lower Yakima Valley. After finishing high school he attended Yakima Valley College where he obtained a degree in Radiologic Technology, and worked in the field for over 7 years locally. He was board certified in Computed Tomography (CT) and Radiography (X-ray). Ramon then pursued higher education and went off to the University of Washington and completed the Medex Physician Assistant Program. Ramon is a nationally certified Physician Assistant and will be practicing primary care here at our clinic. He is bilingual and fluent in both English and Spanish. Ramon is looking forward to caring and helping patients of all ages. When not at work Ramon loves spending time with his family. His wife and him are the proud parents of 3 children and feel blessed and honored to have them in their lives. Together they like to enjoy outdoor activities, take short day trips, go camping, fishing, and participate in sports. During the fall season you are likely to find the Perez family on the sidelines of one of their child’s football games.
Margaret Kranz, PA-C
Margaret Kranz was born and raised in north central Oregon and attended Gonzaga University. After graduating, she worked in Ireland and Germany for 3 years and enjoyed traveling throughout Europe. She returned to the US and obtained her Radiologic Technology degree from Hutchinson Community College in Kansas. She and her husband moved to Pittsburgh, PA where she held a position as an X-ray technologist in a large trauma hospital. She eventually decided to further her knowledge in medicine and earned her masters in Physician Assistant Studies at the University of Pittsburgh. She graduated in 2020 and became a national certificated Physician Assistant shortly after. She has been practicing at Swofford & Halma Clinic since July of 2021.
Bristol Fletcher, ARNP
Bristol Fletcher, ARNP was born and raised in Florida. She attended Florida State University where she graduated with a Bachelors in Nursing. Bristol worked as a nurse for six years before graduating from Indiana State University with her Master’s degree. Her specialty is family care medicine and she is bilingual, fluent in English and Spanish. Outside of work she enjoys hiking, reading, traveling, and spending time with her dog Willett.