top of page
J. Sorin Ispirescu, MD
Board-Certified Pain Management
Board-Certified Anesthesiology

DR. ISPIRESCU is a double board-certified and fellowship-trained pain management physician. He trained with top experts in the field of pain medicine at UC San Diego, where he completed both his anesthesiology residency and pain management fellowship. Dr. Ispirescu is passionate about looking at the whole person when treating pain, utilizing a combination of the latest and most advanced therapies, along with a holistic, integrative approach. As part of his pain management fellowship, Dr. Ispirescu trained in all aspects of pain management and has developed expertise in spinal cord stimulation (SCS), ultrasound-guided injection therapy, as well as lifestyle medicine. He is also now offering the latest and most advanced treatments using stem cell and platelet-rich plasma (PRP) injections, promoting natural healing and restoration. This has allowed him to effectively treat some of the most challenging pain conditions, where others had given up.
​
As the founder of Idaho Pain Clinic and co-founder of Pain Clinic of Spokane, Dr. Ispirescu and his team have worked tirelessly to put together one of the region’s only true multi-disciplinary programs, incorporating the most advanced minimally-invasive pain management treatments, along with medication management, nutrition counseling, physical therapy, chiropractic care, massage therapy, and psychological services. Dr. Ispirescu and his team are also actively involved in genetic research in one of the most promising and exciting areas, using genomics to identify and guide the most effective treatment options for each individual patient.
​
Dr. Sorin also provides health-related content through his personal site DrSorin.com. Here you will find exciting interviews that he conducts with other health professionals, food & lifestyle videos, and videos related to Idaho Pain Clinic as well. This site will help you live well, eat well, and be well!
Madison Guzman, PA-C
Physician Assistant, Certified

Madison grew up in Yakima Washington. She moved to Spokane in 2012 to complete her undergraduate degree in biology at Whitworth University. During this time she was volunteering at the Union Gospel Mission and served on two mission trips to Haiti. She met her husband, Michael while shadowing in the Yakima Regional Emergency Department. They have been together for 8 years and have 3 children.
She knew while in medical school that she wanted to work in chronic pain because of her mom. Her mom is a chronic pain patient and is an inspiring example of what it means to keep fighting against all odds. Watching her mom battle pain, and knowing how difficult it was, gave her the passion to provide care in this field. Now as a provider, she hopes she can help find ways to give patients the best quality of life possible and provide them with hope.
Mika Hakkarainen, PA-C
Physician Assistant, Certified

Mika was born in Phoenix Arizona. He graduated from high school in Shelton Washington. In 1992 he entered the army where he served as an infantryman and a Physician Assistant over a 25 year career. Mika attended the Interservice Physician Assistant Program and graduated in 2007. He completed his didactic portion at Fort Sam Houston in San Antonio, Texas. He completed his clinical training at Fort Stewart, Georgia.
His wife was born and raised in Spokane. They they moved to Coeur d’Alene Idaho in 2017 after retiring from the Army. Mika and his wife have been married for over 30 years. They have two children. In his spare time Mika enjoys, scuba, diving, archery, fishing, hunting, and other outdoor activities.
Ashley Holden
Sandpoint Surgery Center Administrator
Physicians Relations Director

Ashley is the Sandpoint Surgery Center Administrator. She also coordinates the Marketing for the Idaho Pain Clinic as a collective. She is responsible for managing the daily operations of the facilities' surgery center to streamline patient care. On a typical day, Ashley may be involved in organizing facility records, attending board meetings, keeping up with new practice regulations, and communicating with physicians and other surgical staff.
​
Wearing multiple hats, she also has superb influencing skills. Her ability to enhance any companies marketing campaigns is second to none. Ashley has extensive experience working in competitive marketing environments where only the toughest succeed. She not only has the ability to see those opportunities that others do not but also has the initiative needed to take advantage of them. She excels in building employee relations and morale.
​
Ashley is a young professional, passionate about her work. She has more than 10 combined years of experience in Health Care management and marketing. Raised in Ocean City, Md, Ashley attended Stephen Decatur High School but received her diploma from Mandeville High School in New Orleans, LA. Ashley received her associate's degree at Wor-Wic Community College in Salisbury, MD with a specialty in business. Her newest accomplishment is a certification in behavioral therapy.
​
Ashley, her husband Alphonso, and their 2 daughters Addison and Adrianna live in Sandpoint, Idaho. She enjoys her time away from work by cooking and enjoying the great outdoors.
Madison
Professional Staff
Mika
bottom of page