The CostCare Team

Each of our owners is also a seasoned healthcare provider. Together, they have more than 40 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.

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 grew up in Chinook, Montana, home of the Sugarbeeters! She earned her Physician Assistant degree from Idaho State University in 1998. The early part of her career was spent practicing rural emergency medicine in Montana, Idaho, and Washington state. In 2001 she moved to Missoula to be closer to her family. It was here (with her amazing friend and business partner, Carol!) that she began to expand her practice into urgent care and family medicine with the realization that medical care could be offered through an entirely different model providing top quality care at affordable prices. Today she continues to work in the clinics on occasion but spends most of her time operating the business aspect of CostCare. She is passionate about using her medical knowledge and experience along with her entrepreneurial approach to business to continue advocating for access to healthcare while maintaining a socially responsilbe approach that is financially sustainable for individuals, businesses, and insurance companies.

Our Providers

Josh Smith, FNP

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, MD

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, FNP

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-C

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.

Rebecca Zatorowski, APRN, CNP

Rebecca received her Bachelors of Science degree in nursing from Montana State University and completed her clinicals in Missoula. She received her Masters in Science in Nursing with a family nurse practitioner certification at Viterbo University in Lacrosse, Wisconsin where she completed a Nurse Practitioner Residency program through the Mayo School of Health Sciences. She has been a family nurse practitioner since 2012. Her work experience as both a registered nurse and a family nurse practitioner were at the Mayo Clinic in Rochester, MN. My work experience includes retail clinic and family practice. My passion is for women's health and preventative care including complementary and alternative modalities to achieve health outcomes. I believe in individual focused, cost effective, and holistic care. I am happy to be part of the Cost Care tea

Kathy Elwell, FNP

Kathy Elwell, nurse practitioner, recently joined the CostCare family practice at the Mullan Road location. Kathy is a recent nurse practitioner graduate. Her prior work includes being an EMT, paramedic, ER/ICU/Cardiac Cath lab/flight nurse. Her hobbies include hiking, backpacking, kayaking, and teaching. As part of the family practice, she is accepting new patients and can manage chronic disease states, perform full exams, and provide urgent care needs as well.

Lila Erickson, MSPAS

Lila grew up on Bainbridge Island, WA. She completed her BS in Biology at the University of Washington and went on to complete her MSPAS at South University in Savannah, GA. Lila has over 7 years of experience in Family Medicine, extensive experience with preventative health, mental health and women’s health. Lila enjoys the education aspect of care and collaborating with patients when making a health plan. She has practiced medicine in Maine, Washington and Montana. Missoula has been home for over 5 years where she loves walking the surrounding mountains, biking, skiing and floating.