Our Team

The Cost Care Team

Each of our owners is also a seasoned healthcare provider. Together, they have more than 35 years experience in Emergency Medicine, Urgent Care, and Family Medicine. They are united in their commitment to make healthcare not only affordable, but also accessible. In fact, often when you visit CostCare, you’re seen by one of our owner/practitioners.


Our Owners

Dr. Carol Bridges, M.D.4E3A1491

Carol was raised in Upland, California and in 1991 graduated with a B.S. degree from the University of California, Irvine. She went on to attend the University’s College of Medicine, receiving an M.D. in 1995. For the following three years, Carol performed her residency training in Family Medicine in Spokane Washington. She moved to Missoula in 1998 to practice full-spectrum family medicine, including Obstetrics. Since 2004, she has specialized in Emergency Room and Urgent Care medicine.

Lesley Von Eschen, PA-C

Lesley earned her in Physician Assistant degree from Idaho State University in 1998. She has since served as a physician assistant for rural emergency departments in Montana, Idaho, and Washington. Since 2001, Lesley has also specialized in urgent care medicine in Missoula, Montana. In addition, she has worked as a medical legal consultant and has served as the Director at Large for the Montana Academy of Physician Assistants.

Our Providers

Josh Smith, FNP4E3A1192

Josh received his BSN (Bachelor of Science in Nursing) in 2001. He received his MSN and FNP degrees in the spring of 2008 from the University of Georgia. While he specializes in Family Practice, primarily at our Mullan location, he has worked in hospital emergency departments and his certifications include PALS, ACLS, TNCC, ENPC and STN. Josh is married with two young sons and a daughter.  He enjoys hunting, flyfishing and apparently, home repairs.

 Jamie Armstrong, MD4E3A1256

Jamie originally grew up in Kalispell, MT.  He attended Princeton University with a degree in history.  He attended medical school at the University of Vermont and met CostCare owner, Carol Bridges, during his internship in Spokane, WA.  That led to a lifelong friendship and allowed him to become part of the CostCare team.  He completed his residency at the Mayo Graduate School of Medicine in Scottsdale, AZ.

Jenny Larson, FNP4E3A1360

Jenny received her BSN and MSN from Montana State University. She specializes in urgent care and works at each of the Missoula clinics. She lives with her husband and two boys and takes in all Montana has to offer. If you can’t find her at CostCare, she is most likely skiing, hiking, skating, swimming, or floating the river.

Meredith Ruland, PA-C4E3A1395

Meredith earned a B.A.  in Spanish in 1998 and a M.S. in Health Promotion from the University of Montana in 2002, where she specialized in HIV.  She then completed a Masters of Physician Assistant Studies from Idaho State University in 2012 and began working at CostCare that same year.  She is married with two young sons.  She enjoys running, biking, skiing, and all Montana has to offer.


What our patients say..

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"Lesley was awesome! She was very knowledgeable and had a great bed side manner. I would recommend her and Cost Care to all my family and friends!"

Kevin McManus, Patient