I could not disagree with Tricia N. more! Everybody has their own experience and I don't want to take away from hers, but Dr. Blackham is an amazing OB/GYN and honestly, he really doesn't need a nurse. In fact, I never even thought about it till reading the reviews posted here. His office is not in a 'strip mall', it's in a office building shared by others in the medical profession such as dentists and chiropractors ect. I could honestly care less what his receptionist looks like, it has no baring on his ability as a doctor. I find his office laid back, yet professional, just like Dr. Blackham. He's one of the few leader's in diagnosing and treating Endometriosis, which is how I became a patient of his. When I became pregnant, I was so excited to have him deliver our baby, he helped design the maternity ward at NW and his delivery techniques were so good that I had no tearing at all (which apparently, he's well known for this). In fact, my husband and I were at Costco the day after delivery! He always delivers his babies which if you've ever experienced any other OB/GYN office, you'd understand why that's so great. I've recommended him to all my friends and in fact, my sister will be using him to deliver hers. My mom is also a patient, and I've never met anyone who was dissatisfied or uncomfortable in his presence. Even the robes are hand made 'moo moo's' instead of those ridiculous paper things you get to where at other offices. One more thing that really makes a difference with him-you don't have to wait a month to see him! Once your a patient, you can make an appointment for just a few days in advance and he'll be able to squeeze you in which is very nice when your an expecting mother who wants to hear the heartbeat 'just to make sure'. Also-his pelvic exams for annual checkups are also very good-he's 'in and out' so fast you don't even realize he's done! I wouldn't go to anyone else for my OB/GYN needs. In fact, I drive from Everett to Seattle to see him and would drive further if he was further away. Corissa A.