Natalie Paul is a visionary Family Nurse Practitioner, primary care innovator, and the founder of Lavender Spectrum Health, a radically inclusive private practice in Vancouver, WA. With nearly a decade of experience providing comprehensive primary and specialty care, she is transforming what healthcare can look like when the needs of queer, disabled, neurodivergent, and other historically marginalized communities are placed at the center—not the margins.
Driven by the belief that relationship-based, trauma-informed care is not only ethical but essential, Natalie has built a practice model that challenges traditional medicine's limitations. Lavender Spectrum Health reflects her lifelong commitment to designing systems where patients are seen as whole people and where complex care needs are met with curiosity, collaboration, and dignity. Her approach integrates extended appointment times, specialty reproductive and sexual health services, advanced gender-affirming care, behavioral health integration, and innovative procedural capabilities such as local anesthesia for electrolysis—all within primary care.
Natalie brings deep clinical expertise across chronic disease management, complex pain, neurodivergence, connective tissue disorders, and advanced hormone therapy. She is trusted for her intuitive and evidence-based care, especially for individuals whose conditions are often misunderstood or dismissed. Throughout her career, she has mentored other clinicians, shaped institutional guidelines on inclusive care, delivered continuing education to large health systems, and consistently advocated for reimbursement parity and systemic reform.
She has served diverse communities in urban, rural, and telehealth environments; provided bilingual exams in Spanish to migrant workers; and led public health outreach initiatives from homeless youth shelters to flu vaccination campaigns. Her work is informed not only by clinical excellence but also by her academic background in cognitive neuroscience and published research on trauma, depression vulnerability, and stress physiology.
As founder, strategist, and care provider, Natalie is redefining what sustainable, values-driven healthcare can be—proving that high-quality, financially viable primary care is possible when we design for those most often excluded. She is known by her patients and colleagues alike for her depth of compassion, her fierce advocacy, and her unwavering commitment to building a future of healthcare where all bodies, minds, and identities are honored.
Publications
Bland, H. T., Gilmore, M. J., Andujar, J., Martin, M. A., Celaya-Cobbs, N., Edwards, C., Gerhart, M., Hooker, G. W., Kraft, S. A., Marshall, D. R., Orlando, L. A., Paul, N. A., Pratap, S., Rosenbloom, S. T., Wiesner, G. L., & Mittendorf, K. F. (2024). Conducting inclusive research in genetics for transgender, gender-diverse, and sex-diverse individuals: Case analyses and recommendations from a clinical genomics study. Journal of genetic counseling, 33(4), 772–785. https://doi.org/10.1002/jgc4.1785
Jaeger, C. B., Hymel, A. M., Levin, D. T., Biswas, G., Paul, N., & Kinnebrew, J. (2019). The interrelationship between concepts about agency and students' use of teachable-agent learning technology. Cognitive research: principles and implications, 4(1), 14. https://doi.org/10.1186/s41235-019-0163-6
Rhoten, B. A., Sellers, J., Charron, E., & Paul, N. (2019). Sexual activity after treatment for head and neck cancer: The experience of survivors. Cancer Nursing Practice, 18(3), 22–28. https://doi.org/10.7748/cnp.2019.e1461
Rhoten, Bethany & Paul, Natalie. (2015). Sex and head and neck cancer: the lived experience of survivors. Psycho-Oncology. 24. 57-58.
Levin, D. T., Harriott, C., Paul, N. A., Zheng, T., & Adams, J. A. (2013). Cognitive dissonance as a measure of reactions to human–robot interaction. Journal of Human–Robot Interaction, 2(3), 3–17. https://doi.org/10.5898/JHRI.2.3.Levin
Wang, L., Paul, N., Stanton, S. J., Greeson, J. M., & Smoski, M. J. (2013). Loss of sustained activity in the ventromedial prefrontal cortex in response to repeated stress in individuals with early-life emotional abuse: implications for depression vulnerability. Frontiers in psychology, 4, 320. https://doi.org/10.3389/fpsyg.2013.00320
Paul, N. A., Stanton, S. J., Greeson, J. M., Smoski, M. J., & Wang, L. (2013). Psychological and neural mechanisms of trait mindfulness in reducing depression vulnerability. Social cognitive and affective neuroscience, 8(1), 56–64. https://doi.org/10.1093/scan/nss070