Nicholas J Okon, D.O. Is a Northwest side native of Chicago and has practiced Neurology in Montana since 1998. He is Board Certified in Neurology and Neuroimaging including MRI, CT and neurovascular ultrasound and has sub-specialty training in Cerebrovascular Disorders and Stroke. He holds a B.S. in Bioengineering from the University of Illinois and medical degree from the Chicago College of Osteopathic Medicine. In 1998 he completed his Neurology residency at the University of Chicago and left Chicago to begin practice in Billings, Montana. He completed a Cerebrovascular Fellowship at the University of Texas-Houston Stroke Program, returning to Billings in 2001 to build the St. Vincent Healthcare Stroke Center.

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In 2005, St. Vincent Healthcare became the first JCAHO-certified Stroke Center in a five state region. Dr. Okon left the Stroke Center in January 2008 after a seven year tenure as medical director. He has since practiced as a stroke and neurohospitalist in Montana, Colorado and Oregon. Dr. Okon is very active in expanding the opportunities for treatment of acute stroke to victims throughout the northwest. He is past chair of the Northwest Regional Stroke Network and current chair of the Regional Telestroke Initiative. He is an active member of the American Stoke Association (ASA), past chair of the ASA Pacific Mountain Affiliate; member of the Stroke Council of the AHA, the ASA Stroke Volunteer Forum, the Stroke Section of The American Academy of Neurology, the American Society of Neuroimaging, and the Western States Stroke Consortium. He is also a founding and active member of the Montana Stroke Initiative and Montana Telestroke Project in conjunction with the Montana Department of Public Health. Dr. Okon has published in the journals Stroke, Circulation, American Journal of Preventive Medicine, and the Journal of Rural Health Dr. Okon and Northwest Stroke Solutions is currently developing and directing the Providence Telestroke Network out of the Providence Stroke Center in Portland, OR. He currently practices telestroke in Montana, Nevada, Oregon and Washington,Idaho and California.


Dr. Fanale is a partner with Blue Sky Neurology PC, the medical director of the CO-DOC Telemedicine Program and Stroke Program at the Colorado Neurological Institute and at Swedish Medical Center. He is a board-certified neurologist specializing in stroke and cerebrovascular disease. He graduated from MCP Hahnemann School of Medicine, Philadelphia, in May 2000 and subsequently completed residency training in preliminary medicine and neurology at Hahnemann. He completed a fellowship in stroke/cerebrovascular disease at University of California at San Diego Medical Center and is a member of the American Academy of Neurology. There he had experience with a telemedicine network that connects five rural hospitals in California with stroke neurologists at the UCSD Stroke Center, improving stroke diagnosis, treatment and outcome.

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Dr. Fanale has been involved in stroke research through a number of clinical trials, including Visualization of the Cerebral Arterial Circulation Using ImagentĀ® Contrast Enhanced Transcranial Doppler Ultrasound Imaging, Intravascular Cooling in the Treatment of Stroke-Longer tPA window, Assessing the Efficacy and Safety of Intravenous NXY-059 in Acute Ischemic Stroke, and others.


jeffwagnerJeff grew up and completed his medical education and residency in Oregon. He joined the Neurology Department faculty at University of Utah after completing a fellowship in Neurophysiology in 2007. Jeff participated in the University of Utah Telestroke program from 2007-2009. Jeff has demonstrated leadership and teaching skills. While at the University of Utah, he served as Director of the Neurology Clerkship for medical students and received the Neurology Faculty Teaching Award in 2009. Later in 2009 Jeff joined Dr. Chris Fanale's Blue Sky Neurology group in Englewood Colorado. Dr. Wagner has also demonstrated a commitment to stroke and telestroke patient-care. He currently practices Stroke and Neurohospitalist medicine at Swedish Hospital and assists Dr. Fanale in directing the CO-Doc telestroke network. CO-Doc is the largest telestroke network in the West with 20 spoke sites throughout Colorado.

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MikeWynnAfter serving as a general medical officer and flight surgeon in the Air Force, Dr. Wynn completed his neurology residency at Oregon Health and Sciences University followed by a Stroke fellowship. He is board certified in Neurology and Vascular Neurology. While at OHSU he was a co-investigator in the early tPA trials and numerous neuroprotecant trials for acute stroke. He remained on staff at OHSU as Assistant Professor of neurology until 1998 when he opened his practice in Salem, Oregon, Neurology Consultants.