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Patient comfort and well-being are of primary focus and importance. 



For treatment that goes beyond just medicine, come to the region's only accredited community cancer center.


St. Joseph Cancer Center offers access to cancer treatments provided by a multidisciplinary team of cancer specialists. In addition to professional collaboration, we have access to the latest innovative treatments and state-of-the-art equipment. Our comprehensive cancer program includes medical oncology, surgical oncology, and radiation oncology. We offer coordination with other centers for clinical trials. We serve patients from North Central Idaho, Southeast Washington, Northeast Oregon and more.

Cancer support services

Our Cancer Center Support Services include:


oncology/ hematology

St. Joseph Cancer Center is a leader in the region for treatment of oncology and hematology patients. A multidisciplinary team approach helps to ensure the patient and family understand the treatment process.

radiation oncology

The radiation oncology treatment team includes a physician, medical physicist, a dosimetrist, radiation therapists (all board-certified in radiation oncology) and an oncology nurse. There are generally three treatment methods for cancer: surgery, chemotherapy, and external or internal radiation therapy; all available at St. Joe's. Often a combination of these treatments is used to fight cancer and its effects.

St. Joe's offers both external and internal radiation therapies. External therapy uses a linear accelerator to direct high-energy rays to cancer and the surrounding diseased tissue. Internal radiation implants use radioactive materials with a very short half-life to deliver radiation to the cancer/tumor. Implants may be "needles" placed next to the tumor or "seeds" injected directly into the tumor.  


  • Two linear accelerators to provide radiation treatment.
  • Computerized tomography (CT) scanner, simulator, and 3D adn 4D treatment planning.
  • External beam radiation, including photons for deep seated tumors and electron boosts for superficial treatment.
  • Intensity Modulated Radiation Therapy (IMRT) delivers higher radiation doses directly to cancer cells while sparing more of the surrounding healthy tissues.
  • Portal imaging to provide instant digital images for treatment verification.
  • Positron Emission Tomography (PET/CT) is used in combination with CT to evaluate and stage cancer.
  • Stereotactic Body Radiation Therapy (SBRT) provids highly precise treatment of tumors in the lung, liver and other sites.


To learn more about Radiation Oncology, click below:

radiation oncology

prevention & screening programs

Community outreach has always been a high priority for St. Joseph Regional Medical Center and our Cancer Program.  Through community collaboration, partnerships, sponsorships and hospital-sponsored activities, St. Joseph and the Cancer Program support the overall outreach goals and activities of the hospital, while also developing its own program to improve the health of our community regarding cancer and cancer care.

cancer registry

The registry collects demographic, diagnostic, treatment and survival information on every patient diagnosed treated at St. Joseph Regional Cancer Center. This information can provide valuable data for clinical studies and educational functions. It also provides a resource for evaluation of treatment approaches and outcomes.


Clinical Trials

Clinical trials are medical research studies that rely on human volunteers. These studies determine if a new treatment—such as an experimental drug to control high blood pressure—is safe and effective. They may also be used to test new uses for existing treatments.


GENTleMEN Study Offers Free Genetic Testing 


Men in with metastatic prostate cancer can receive free genetic testing and counseling through the web by enrolling in the GENTleMEN (GENetic Testing for MEN) study. Led by Dr. Heather Cheng, director of the Prostate Cancer Genetics Clinic, the study seeks to remove barriers and improve access to genetic testing and counseling, which aren’t available everywhere or always covered by insurance.

  • If you have metastatic prostate cancer, you can enroll in the study by completing an online questionnaire that takes about 40 minutes.
  • Once your metastatic prostate cancer diagnosis is confirmed, you will receive a Color Genomics saliva-sampling kit and instructions through the mail.
  • DNA from your saliva samples will be tested for 30 cancer-associated mutations after you return the kit.
  • Results will be sent to you and, if you choose, your doctor.
  • If you test positive, you will have access to genetic counseling by phone or face-to-face at SCCA.

Learn more and request a test kit at the GENTleMen study website at, or call our Clinical Research Coordinator, Amber Kingston RN, BSN at 208-750-7393 or email at


patient care team

Total patient care is the goal of our entire healthcare team. The team's emphasis is on health education, emotional support, problem-solving and goal-setting with patients and their families as active participants in treatment planning.

The Oncology Team Includes:

Physicians and Mid-Level Providers

Gerardo Midence, MD
Medical Oncology,
Hematology, Hospice
& Palliative Medicine

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Theresa Pagliuca, MD
Radiation Oncology

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Alice Forsythe, MD
Medical Oncology,

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Michele DickisonMichele Dickison, MSN
NP-C, Medical Oncology,

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New! Photo coming soon.

Belinda Roberts, NP-C, Medical Oncology Hematology

New! Photo coming soon.

Rebecca Amdor, NP-C, Medical Oncology Hematology



Chemotherapy- and Biotherapy-Trained Registered Nurses

Oncology nurses are on the front lines of chemotherapy delivery, providing education, side-effects management, and emotional support to patients and their families.


Ensures the correct radiation treatment is given by calibrating the machines and calculating doses.


Specializes in the operation of radiation equipment and calculations of dosing in cooperation with physicist and oncologist.

Radiation Therapists

Operate the radiation therapy machine during treatments.

Social Worker

Provides education about cancer issues; counsel and emotional support; referrals to community resources; and support services, assistance with financial applications, medical forms, and Advance Directives.

Registered Dietitian

Provides education regarding nutritional issues and helps identify diets that might maintain strength, improve tolerance to treatments and decrease adverse side effects of treatments.


On-site pharmacy staff prepares chemotherapy and treatment-related medications.

Financial Advocate

Helps access financial assistance programs for those who meet financial eligibility criteria.



Click the links below for more information about Cancer and Cancer Care:

Seattle Cancer Care Alliance


Seattle Cancer Care Alliance

The region’s only cancer program, including the St. Joseph Cancer Center & Blood Institute and Radiation Oncology, is proud to become a network member of the Seattle Cancer Care Alliance. This membership will expand our clinical care network and increase access to specialty cancer care options.


Seattle Cancer Care Alliance


Summit Cancer Centers

St. Joseph’s Regional Medical Center’s Cancer Center works in partnership with Summit Cancer Centers to offer expert radiation oncology physician services to patients in the region.  We are proud to have Dr. Theresa Pagliuca, a board-certified Radiation Oncologist, providing professional radiation oncology services for patients at the St. Joseph’s Radiation Oncology Center.


Commission on Cancer

The Commission on Cancer (CoC), a program of the American College of Surgeons (ACoS), recognizes cancer care programs for their commitment to providing comprehensive, high-quality, and multidisciplinary patient-centered care. The CoC is dedicated to improving survival and quality of life for cancer patients through standard-setting, prevention, research, education, and the monitoring of comprehensive quality care.


Women's Choice Award- Cancer Care

St. Joseph Regional Medical Center is a proud receiver of the 2016 Women’s Choice Award® as one of America’s Best Hospitals for Cancer Care. This evidence-based designation is the only cancer care award that identifies the country’s best healthcare institutions based on robust criteria that consider female patient satisfaction, clinical excellence, and what women say they want from a hospital.






Cancer Survivor Story: Delilah




Contact Us


Radiation Oncology Center
504 Sixth St.
Lewiston, ID 83501
Phone: 208-799-5600
Fax: 208-799-5755

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Cancer Center & Blood Institute
1250 Idaho Street
Lewiston, ID 83501
Phone: 208-743-7427
Fax: 208-743-7421

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american cancer society
The American Cancer Society
funds and conducts research that helps us better understand, prevent, and find cures for cancer.

Classes & events
Join us for a St. Joseph event or class for the chance to meet our staff and supporters in the community.

contact us
Give us a call with any questions or comments. We would be happy to talk with you regarding your health care.