La Clinica’s senior leadership provides administrative direction and support as the organization pursues its mission of providing quality, affordable care to all.
Brenda Johnson, CEO
Chief Executive Officer
Brenda leads La Clinica to provide primary medical, dental, and social services for underserved residents across 21 sites in Southern Oregon. She began her career with the organization in 2000 and prior to joining La Clinica’s staff, Brenda was a public health nurse with Jackson County Health and Human Services.
Brenda earned a master’s degree in business administration from Purdue University, a bachelor’s degree in nursing from Oregon Health Sciences University, and a bachelor’s degree in Spanish from Southern Oregon University. In 2016 she was appointed by the governor to the Oregon Health Policy Board, which sets the state’s health policy, and she is on the board of Jackson Care Connect, a coordinated care organization serving Jackson County. She also serves on the board of CareOregon.
She has been recognized by Southern Oregon University as a Distinguished Alumni of the Year, named an outstanding regionalist by the Rogue Valley Council of Governments and cited for exemplary leadership by the Oregon Primary Care Association.
Brenda is a Portland, Oregon, native who has lived in Medford since 1985. In her leisure time she enjoys singing, reading, spending time with her husband, and playing with her children.
Her intention with La Clinica is clear.
“I have a deep appreciation and understanding of the importance of diversity and the honor of providing true support and service to others. La Clinica offers me the gift and opportunity to live those values every single day,” she says.
Chief Medical Officer
Justin Adams is a family physician at La Clinica Wellness Center and serves as La Clinica’s chief medical officer.
Dr. Adams holds a medical degree from Oregon Health & Science University in Portland, a master’s degree in ecology from the University of California at Davis, and a bachelor’s degree in biology from Lewis and Clark College in Portland. He served his residency at St. Mark’s Hospital in Salt Lake City, Utah. His professional interests include sports medicine and complementary medicine, and Dr. Adams favors a wellness approach to supporting the health and well-being of his patients.
He is a member of the American Academy of Family Physicians and the American Association of Orthopedic Medicine.
Dr. Adams grew up in Ashland, where he now lives with his wife and two children. He is a mountain biker, runner, skier, and snowboarder, and enjoys competing in marathons and triathlons and “anything else that has me moving in the outdoors.” He also loves to travel.
“Having grown up in Southern Oregon, I have long been impressed with La Clinica as an organization and with the people who worked there,” he said. “From the time that I decided to go into medicine, it has always been in the back of my mind as a place that I would like to work. I also speak Spanish and enjoy working with our Latino population.”
Dr. Adams is part of the La Clinica Wellness Center care team.
Chief Financial Officer
Jill Borovansky serves as La Clinica’s chief financial officer.
She came to the organization in 2017 from Harry & David, where she served as vice president of finance and chief accounting officer and corporate controller.
She was employed by Harry & David between 2012 and 2017 and between 2001 and 2008, serving in accounting management and financial analysis positions. She was an auditor for Deloitte and a senior consultant for Arthur Andersen LLP, both financial services firms, in Portland, and was controller at PremierWest Bank in the Rogue Valley.
Jill is a certified public accountant and holds a master’s degree in business administration from Southern Oregon University.
Chief Dental Officer
Amy Fine leads La Clinica’s dental program and works as a general practice dentist at the East Medford Dental Clinic. Dr. Fine joined the La Clinica dental staff in July 2009.
She earned her dentistry degree from Oregon Health Sciences University and her undergraduate degree from the University of Oregon’s Clark Honors College. Previously she worked as a biochemist for Invitrogen/Molecular Probes. She is a member of the American Dental Association, the Oregon Dental Association, and the Southern Oregon Dental Association.
Dr. Fine moved to Medford from Portland. Her favorite pastimes include spending time with her husband, Joshua, and their two children. Community work and volunteering are integral to Dr. Fine’s life. She is an advocate for SMART (Start Making A Reader Today) and Friends of Trees, and she has been involved at the state level in improving access to health care.
Chief Quality Officer
As chief quality officer, Traci Fossen oversees organizational quality, safety, compliance, and risk management for La Clinica, including standards of care, clinical skills assessments, and emergency preparedness.
Before joining La Clinica, Traci was clinic manager and a case management nurse for the Community Health Center in Medford, and earlier she was part of the leadership team in the rehabilitation programs at Providence Medford Medical Center. She earned her associate degree in nursing from Weber State University in Ogden, Utah, and her bachelor’s in nursing from the University of Phoenix in Arizona.
Born into a military family in Maine, Traci moved a lot as a child but has called Oregon home for more than two decades. In her spare time, she enjoys golfing, reading, playing with her grandchildren, and spending time with her family.
Chief Operations Officer
Tara Kirk, who started her career at La Clinica in 2002 as a medical records clerk, transitioned in early 2019 into the chief operations officer role.
Tara has a strong background in operations management and quality improvement, serving as a practice manager and performance excellence director before taking the top operations job.
She is a certified Lean Practitioner in healthcare quality and a certified practice coach for primary care innovation. In addition, she is a Baldrige examiner for Performance Excellence Northwest, an organization dedicated to business effectiveness. She is passionate about empowering teams and individuals, removing barriers, and inspiring innovation.
Karen Sauer, MD
Medical Officer for Clinician Development and Support
Karen Sauer is a family physician at La Clinica Wellness Center and in her medical leadership role is responsible for recruitment and employment of La Clinica’s physicians, family nurse practitioners, and physician assistants.
She earned her medical degree from the University of Texas Health Science Center in San Antonio, where she was given the Dr. Alexander Major Memorial Award. She completed her residency at Natividad Medical Center in Salinas, California, where she was named chief resident her final year and received the Dr. Joseph R. Hannon Memorial Award. Dr. Sauer is certified by the American Board of Family Medicine.
Dr. Sauer first joined La Clinica in 1996 and returned to our staff in 2005 after a few years away. She is bilingual in English and Spanish, and has worked in migrant health and education since 1986.
Daniel Sengenberger, DO
Medical Officer for Operations and Outcomes
Daniel Sengenberger is a family physician at West Medford Health Center and in his medical leadership role works with teams to plan and manage operations of all La Clinica medical centers.
Dr. Sengenberger holds a doctorate in osteopathic medicine from Midwestern University in Glendale, Arizona, and a bachelor’s degree in English from the University of San Diego in California. He completed his residency in family medicine at the Naval Hospital in Bremerton, Washington. Before joining La Clinica in 2013, he served eight years in the US Navy. Dr. Sengenberger is a member of the American Academy of Family Physicians and is certified by the American Board of Family Medicine.
A native of Portland, he now lives in Medford with his family. He enjoys playing the guitar, rowing, and camping.
Maria Ramos Underwood
Chief Development Officer
Maria Ramos Underwood oversees La Clinica’s fundraising, from writing and tracking grants to working with donors and community partners dedicated to improving community access to health care.
Previously Maria served as the organization’s deputy director and wellness and prevention coordinator. Before joining La Clinica, she was Hispanic outreach advocate for Dunn House, a Jackson County shelter for women. Maria graduated from Arizona State University with a bachelor’s degree in sociology. She is a member of the boards of the Health Care Coalition of Southern Oregon (HCCSO), Jackson County Emergency Food and Shelter Program (EFSP), and Medford’s Family Nurturing Center. She also serves on the steering committee for SO Health-E, our regional health equity coalition.
Maria, born in Mexico, was a child of seasonal farm workers and grew up using community-based health services similar to those provided by La Clinica. She relocated to Medford in 1997 from Tempe, Arizona, when her husband Verne was hired by Rogue Community College. The couple has two adult children. She is an avid reader and enjoys traveling, cooking, and watching movies with her family.
Julie Wurth oversees the organization’s communications with employees and the community.
She turned to La Clinica after a career in journalism, most recently for Medford’s Southern Oregon Media Group, where she was an editor and manager at the Mail Tribune for 18 years and a member of the newspaper’s editorial board for a dozen years. She earned a bachelor’s degree in communications from Washington State University in Pullman and has spent time in the community volunteering at schools to help students learn to read. She is a member of the Friends of the Multicultural Fair Planning Committee in Medford.
A Washington native, Julie moved to Southern Oregon in 1992 and lives in Medford with her husband and daughter. She enjoys the outdoors, books, family and friends, and periodic trips to the city.