Cascade Wellness

Tools to Inspire and Support Health

Getting Started with

Cascade Wellness

Regenerative Medicine

Sarah Piestrup, FNP, EAMP, Dipl OM, IFMCP has been emersed in the ancient wisdom of Traditional East Asian Medicine for over 25 years. During that time she took the time to use all that modern science has to offer integrating with root cause individuality in mind.

She combines Functional Medicine with Acupuncture, Regenerative injections, nutrition and Herbal Medicine to create a tailored treatment plan just for you based on your individual biomarkers and genetics. 

Sarah has been practicing Qi Gong for over 30 years and has studied with true masters of regeneration and longevity from throughout the world. She has been evaluating extensive functional lab testing, including advanced lipids, organic acids, toxins, comprehensive stool tests, hormones, telomeres and genetics for over a decade. She has over 20 years experience with precise needling techniques and acupuncture and over 7 years experience with regenerative injections. She uses herbs, nutrients, diet, exercise, qi gong, hormones, peptieds, msc exosomes and more to get you measurable changes you can feel.

Sarah’s offers classes, individual treatments and online learning along with in person acupuncture and regenerative injection treatments. 

Integrative Functional Medicine

With full training inTraditional East Asian Medicine, conventional medicine and Functional Medicine Sarah brings true integration.

Traditional East Asian medicine brings foundational framework and observational precision. The power of herbs amplifies when you use the right orchestration at the right time. Functional Medicine builds on this framework to use bio makrers and biological pathways to optimize your bodies powerful healing ability.

During the initial consultation, expect a thorough review of your medical history, a discussion of your current health challenges, and a deeper exploration into how lifestyle, diet, and other factors may be affecting your well-being. Sarah’s goal is to guide you toward long-lasting healing and optimal health through a balanced fusion of cutting-edge science and time-tested natural remedies.

Our Services

Regenerative Injections

MSC Exosomes, PRP, Prolo therapy and dry needling with decades of experience and training. There are many ways to support and facilitate your bodies natural healing ability. Find what is right for you with a free online consult.

Functional Medicine

Determine how and why illness occurs and restores health by addressing the root causes of disease for each individual. Work with our team to create a custom treatment plan built specifically for you.

Qi Gong Classes

Work with with breath and movement to harmonize and rejuvenate your bodies and minds. Simple moving stretches will clear your body of tension before we start the flowing exercises to balance and rejuvenate our channels and organs.

Traditional East Asian Medicine

Thousands of years of biological observation is exponentially more advanced than our hundreds of years of corrupt science that pushed profit over outcomes. With advanced assessment and diagnosis to expertly chosen formulas and treatment specific plans. 

Our Locations

Leavenworth, Washington

10454 Fox Rd
Leavenworth, WA 98826

Office staff is now available on Tuesdays and Thursdays call or text us for current hours.

In Person
Friday – Sunday Bi-Weekly
9am to 5pm

Tele Health Available

Tuesday & Thursday 

Portland, Oregon

Portland OR 97205

Tele Health Available

Monday & Thursday 

New Offerings

Group classes in Leavenworth

Qi Gong Classes monthly in Leavenworth!

Online classes coming soon!

Join the waitlist

Over the Counter

In person options in Portland!

We carry a huge amount of wellness supplies that are approved for over-the-counter sale and we do our best to source from the best distributors and growers available on the market today.


We also carry medicines that require a prescription, you must first book a consultation to start with us and to see what you might require.