just out of information, the providence docs will rarely, if ever? order pain meds of the prescription type. many years ago, when i was living in portland, i cut my big toe open, went to the er there because it was close, and they sewed it up without waiting for the numbing stuff to work, then dismissed me when i asked for pain meds. nice folks, but i think pain meds are against the religion or something.
now, the best bunch of docs i found were up at northwest/good samaritan med center, its name may have changed. next check the clinic out at st. vincents, they have a 6-8 person rheumy clinic. check the rheumy clinic at good sam first. just call the hospital and ask them for a phone number. good luck. sequoia