Cascade Wellness

TOOLS TO INSPIRE AND SUPPORT HEALTH.

Getting Started with

Cascade Wellness

Initial Functional Medicine

Your first visit to our facility with Sarah Piestrup, FNP, EAMP, Dipl OM, will be a holistic and integrative experience, blending the best of modern Western science with ancient Eastern wisdom.

She combines Functional Medicine with Acupuncture and Herbal Medicine to create a tailored treatment plan just for you. 

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.

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.

Initial Acupuncture Treatments

Acupuncture sessions with Sarah Piestrup, FNP, EAMP, Dipl OM, provide a restorative and holistic experience rooted in East Asian medicine. This ancient practice involves stimulating specific points on the body to promote the flow of energy, or “Qi,” helping restore balance and activate the body’s natural healing processes.

Sarah’s approach is unique, as she combines her extensive background in both modern Western medicine and traditional Chinese healing practices. This allows her to create treatment plans that are not only tailored to each individual but also backed by scientific knowledge. You can trust that your care is well-rounded and integrative.

During a typical session, Sarah uses fine, sterile needles to target specific points based on your unique health needs. Whether you’re managing pain, dealing with chronic conditions, or seeking to reduce stress, acupuncture offers a gentle yet effective solution.

Each session is designed to help your body achieve a state of harmony, promoting relaxation and long-term wellness. With Sarah’s expertise, you’ll experience the profound benefits of acupuncture in a safe, nurturing environment.

Our Services

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. 

Functional Medicine

Determines 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 regiment.

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.

Regenerative Injections

This non-invasive, natural healing treatment for various conditions, promotes tissue repair, and improves overall quality of life. Call and ask about groups and packages. House Calls are available in the local area.

Leavenworth, Washington

10454 Fox Rd
Leavenworth, WA 98826

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

Tele Health Available

Sat & Sun 11-2

Monday & Thursday 11-6

Portland, Oregon

Seaside OR 97138 &

Portland OR 97205

Tele Health Available

Sat & Sun 11-2

Monday & Thursday 11-6

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.