Our Team

Justin H. Piasecki, MD

A graduate of Stanford University with a degree in biology, Dr. Piasecki went on to Vanderbilt Medical School, where he was elected to the Alpha Omega Alpha honor society.  While in medical school he took a two-year leave of absence to compete on the US National sprint kayaking team and was ranked #4 in the world, winning gold medals at the Pan Am Games, World Cup and at the U.S. National Championships.

After graduation from Vanderbilt, Dr. Piasecki did a five-year plastic and reconstructive surgery residency at the University of Wisconsin, where he won several awards for his research and teaching.  He then completed a Mohs surgery fellowship at the University of British Columbia, training under some of the most respected dermatopathologists in North America.

Dr. Piasecki one of seven physicians worldwide who are board certified by the American Board of Plastic Surgeons , which indicates that he has met the highest level of requirements for practicing plastic and reconstructive surgery and a Member of the American College of Mohs Surgery.

Dr. Piasecki lives in Gig Harbor with his wife and three young daughters.  He continues to kayak recreationally and enjoys spending time outdoors with his family.

Emily Ladd

Operating Room Lead, Surgical Technician, Medical Assistant, Histotechnician

Emily in responsible for maintaining the operating room.  She assists Dr. Piasecki in surgery in both the clinic and the operating room, and is very involved in Mohs surgery cases as a histotechnician. Prior to joining Harbor Plastic Surgery Center, Emily worked as a surgical tech in Seattle for 3 years, and as a medical assistant for 3. 

Emily recently moved to the peninsula from Seattle and enjoys skiing, spending time with her family and friends and exploring the area.

Pamela Cruz

Clinical Manager, Medical Assistant and Histotechnician

Pam keeps the clinic running smoothly and assists Dr. Piasecki in surgery. She is very involved in Mohs surgery cases, cutting the tissue, preparing slides for tissue study and assisting Dr. Piasecki in surgery. Prior to Harbor Plastic Surgery Center, Pam was a Medical Assistant for 14 years. In her free time, Pam enjoys camping, hiking, biking and the outdoors as well as spending time with her husband and 2 young children.

Erin Cox

Administrative Assistant

Erin joins our team with broad experience in the health care customer service field.  Prior to Harbor Plastic Surgery Center, she started her career as a pharmacy technician.  Following that, she spent 10 years in a pain clinic where she worked her way from front desk work to managing the entire clinic.  When she is not at work, Erin enjoys traveling with her husband, watching her son play football, photography, working out and walking her dog,  Bentley.

Ethne Nance

Compliance Officer

Ethne is responsible for ensuring compliance with local, state and federal laws as well as Medicare and AAAHC, our deeming agency.  Prior to joining Harbor Plastic Surgery Center, Ethne spent 16 years in multiple areas of healthcare.  She started as a medical assistant, working in medicine, family practice, nephrology, vascular medicine, urgent care and Emergency/Trauma.  She then spent 12 years teaching medical coding and billing and medical assistants at a college level.  Ethne spends her free time corralling her three young sons and husband.

Michele Hnatishan

Billing Manager

Michele submits insurance claims and bills patients for their procedures at Harbor Plastic Surgery Center. She is committed to answering patient questions regarding their accounts and maintains a high level of attention to detail while billing.  Michele has 7 years of experience as a billing specialist and office manager for a general surgeon in Kitsap County.

Michele enjoys a variety of outdoor activities including hiking, snowshoeing and gardening. She also enjoys traveling, yoga and cooking for family and friends.  Michele and her husband reside in Poulsbo and have both a grown son and daughter. 

Jill Piasecki


Jill comes to Harbor Plastic Surgery Center with thirteen years of healthcare consulting experience.  She has worked in various settings across our country and internationally.  She enjoys working on a day to day basis with her husband. 

Jill spends most of her time outside of the office chauffeuring their three young daughters around the Gig Harbor area.  When away from the kids, she enjoys running and tennis. 






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