Mason General Hospital Visiting Hours

8:00 am to 8:30 pm, daily


Mason General Hospital
(360) 426-1611
Toll-Free (855) 880-3201


Physical Address:
901 Mountain View Dr
Shelton WA 98584

Postal Address:
PO BOX 1668
Shelton WA 98584

Our Family of Clinics:

Oakland Bay Pediatrics

Binod Tuladhar, M.D.

Rose Ann Rayos, M.D.

Therese Pizanti, ARNP




247 Professional Way

Shelton WA 98584

Map our location

Same complex as
The Medicine Shoppe pharmacy, across 13th Street from Mason General Hospital.

Office Hours

Monday - Friday

8:00 am to 5:00 pm

Closed Saturday, Sunday, and all major holidays.

In case of an after-hour emergency, an "on-call physician" is available to answer your questions.

Our pediatricians share 'night and weekend call' with local family practitioners.

Vaccines Required
for School Attendance


We accept most local health plans and HMO's. Our experienced staff is available to answer your questions.

Billing questions should be directed to our billing clerk at 360-427-3439.

Please be aware that some insurance companies pay the full amount for office visits and others have deductibles or percentage allowances.

Patients have ultimate responsibility for payment.

“What does it mean to be Board Certified?”

A doctor is board-certified when he or she has taken additional training to ‘specialize’ in a certain area of medicine.  This usually means at least three years of residency training in a post-graduate institutional program in their area of specialization.  The American Board of Medical Specialists (ABMS) is the recognized standard-setting organization for certifying a physician who has met the training and examination requirements for certification by the boards they represent.

Pizanti =

Rayos =

Tuladhar =

“Caring for the future…”

Oakland Bay Pediatrics is a place where the staff work together to meet the needs of their young patients.  Whether they are conducting a well-child exam, caring for a playtime injury, or an ill baby, they are pleased to answer any questions, offer encouragement, or dry young tears.

Oakland Bay Pediatrics specializes in the healthcare of infants, children, and adolescents.  Their goal is to provide their patients with the best possible medical care, and parents with preventative guidance, as they follow your child from birth to adulthood.

The Clinic is part of Public Hospital District No.1, which consists of Mason General Hospital, MGH Walk-In Clinic, MGH Ankle & Foot, MGH Eye Clinic, MGH Family Health, MGH Hoodsport Family Clinic, MGH Shelton Orthopedics, MGH Surgery Clinic, MGH Oakland Bay Pediatrics, MGH Olympic Physicians, MGH Mountain View Women's Health, and MGH Shelton Family Medicine.

“Round-the-clock care…”

When things get busy, OBP teams up to make sure all kids needing same-day care are seen.  The staff is also available on-call nights and weekends, so that they can help parents determine whether their child needs to be seen immediately at the Hospital, the next day at the office, or can be treated at home. 

Some of the many things to see us for:

  • Newborn care at MGH&FC
  • Comprehensive healthcare from birth to 18 years
  • Well-child checks and immunizations:
  • Flu Season Resources:  Below you’ll find the link for all kinds of resources for the 2014-2015 flu Season. Contact information is listed next to each topic if you have any questions. Visit the department flu web pages for more information and resources. Thank you for all you do to help fight the flu each and every year!
  • Department of Health – Flu Materials and Resources:
  • Reach Out & Read Program.  At OBP we give out over $5,000 worth of books to children between the ages of 6 months to 5 years of age to promote reading activities.  We are the only participant in this worthy program in Mason County.
  • Physicals (school and sports, annual)

Check out our recommended reading. Click here!

"Safety First" When Enjoying Mason County Waterways!

No matter where you go in Mason County, you’re bound to see water.

With 45 lakes and 709 miles of shoreline, 87 percent of Mason County is water; so it’s no wonder that water sports, including swimming, are among the County’s most popular summertime activities.

Fear of accidents shouldn’t keep anyone from enjoying Mason County’s bounty of water, but it’s important to remember that safety should always be a first priority.

From 2009 to 2013, ten accidental drowning deaths occurred in Mason County, and according to the Washington State Child Death Review, drowning is the second leading cause of unintentional-injury death for children in Washington state. Nationally, over 4,000 accidental drownings occur each year, but many could have been prevented by practicing basic safety measures such as these:

  • Learning basic swimming and water survival skills
  • Never swimming alone
  • Making sure children are fully supervised by adults
  • Wearing Coast Guard-certified life vests when boating, and when playing in or around water
  • Never swimming or boating when using alcohol or drugs
  • Swimming in areas watched by lifeguards
  • Knowing your limits and not allowing yourself to become chilled or fatigued
  • Ensuring pools are fenced on all sides and have a locked gate
  • Not diving or jumping into shallow water
  • To learn more about drowning risk factors and prevention strategies, visit

    For information on Shelton High School Pool scheduling and swimming lessons call (360) 426-4240

    For swimming lessons, check out the following Olympia pools for rates and schedules:

    Discover Aquatics Swim School - 110 Delphi Rd. NW - (360) 867-9283 or online at

    Briggs YMCA - 1530 Yelm Hwy. - (360) 753-6576 or online at

    Olympia YMCA - 510 Franklin St. SE - (360) 352-3400 or online at

    Tumwater Valley Athletic Club - 4833 Tumwater Valley Dr. SE - (360) 352-3400 or online at

    Meet our Physicians!

    Oakland Bay Pediatrics offers quality health care to kids from birth through eighteen. To make an appointment with any one of the Oakland Bay Pediatrics providers, please call (360) 426-3102.

    Rose Ann Rayos, M.D.
    Board Certified, Pediatrics

    Rose Ann Rayos, M.D.

    Dr. Rayos is board-certified in pediatric medicine and joined the medical staff at Oakland Bay Pediatrics in July 2012, after completing her residency at Children’s Hospital at Monmouth Medical Center. She graduated with a medical degree from the University of Santo Tomas Royal and Pontifical Catholic University of the Philippines in 2006.

    Binod Tuladhar, M.D.
    Board Certified, Pediatrics

    Binod Tuladhar, M.D.

    Dr. Tuladhar obtained a medical degree from the College of Medical Sciences, Bharatpur, Nepal in 2004, before serving his internship at various hospitals in Kathmandu.  He came to the United States with his wife in 2005 where he completed several additional medical certifications and completed his pediatrics residency at John H. Stroger, Jr. Hospital, Chicago, Illinois in 2011.
    Dr. Tuladhar is board-certified, and a Fellow of the American Academy of Pediatrics (FAAP). Before joining Oakland Bay Pediatrics in 2013, Dr. Tuladhar was an attending physician at Dickinson County Memorial Hospital in Iron Mountain, Michigan.


    Therese Pizanti, ARNP
    Board Certified Pediatric Nurse Practitioner

    Therese Pizanti, ARNP

    Therese Pizanti, a board-certified pediatric nurse practitioner, received her Bachelor of Science Nursing degree in 1985 from the University of San Francisco, CA.  Later, in 1988, she went on to further her education as a pediatric nurse practitioner while serving in the United States Air Force, finishing in 1990 with her board certification.

    Measles: Vaccination is the Only Protection

    Measles is a serious and highly contagious respiratory disease that is transmitted through the air when an infected person breathes, coughs or sneezes. The virus can live for up to two hours after being released into the air or on surfaces, and can result in severe complications, including pneumonia and encephalitis, and can even be fatal. Unvaccinated children under the age of five are the most vulnerable. Also at high risk are pregnant women and anyone with a weakened immune system.

    Measles can be prevented with the MMR (measles, mumps and rubella) vaccine. There is no proof that autism results from vaccinations, and doctors agree that the MMR vaccine is a child’s only protection against the measles virus. Two doses of the vaccine are prescribed: the first dose at 12 to 15 months of age, and the second dose at 4 to 6 years.

    The early symptoms of measles are flu-like, characterized by fever, runny nose, red, watery eyes, cough and fatigue. Two or three days later small white spots appear in the mouth, and a red, raised rash begins to spread over the face, moving down to the neck, arms and chest. Measles is contagious one to two days before the onset of symptoms – making it undetectable. It has an average incubation period of ten days, with the rash appearing at the 14-day mark, and beginning to fade a few days later.

    Washington State typically has five or fewer cases per year, but that number has grown with new, confirmed cases in Clallam, Grays Harbor and surrounding counties. Mason General Hospital & Family of Clinics urges all parents to make sure their children are protected. The message is clear – every child needs to be vaccinated against measles for the protection of all.

    Oakland Bay Pediatrics Adds New Services

    OBP is adding services that will enhance patient care. We are very excited to offer services at our clinic, such as the Reach Out & Read book program, a voice interpretative system (VIS), Tele-Pysch which is coming soon (remote video counseling), and a transition system to adult care when a child reaches age 18.

    Reach Out & Read – OBP is the only practice in the area that participates in this national program. At every well-child exam, children aged 6 months to 5 years are given a new, age-appropriate book to encourage reading at an early age. New book purchases are donated by community members and other entities that make the Reach Out & Read program possible.

    Voice Interpretative System (VIS) – For non-English speaking patients and those needing sign language translation services, OBP now has the capability to translate English to almost any language through a live, onscreen translator, using VIS. During the patient visit with the physician, the translator is present on the voice/sign monitor to interpret the conversation between doctor and patient, allowing the patient to ask and answer questions and be informed about their care.

    Tele-Pysch – A “remote” consultation service where a patient can meet live, onscreen with a mental health expert via TV monitor set up in the Clinic. This allows a face-to-face appointment with a mental health provider without having to travel out of the area.

    Child-to-Adult Transitional Healthcare – At the age 18, a child will graduate into adult medical care, and to help them make the transition, the providers and staff at OBP have created a system of core elements, or goals, to assist them in becoming responsible for their own healthcare. Between the ages of 12 and 14, OBP providers help children begin the transition by teaching them to participate in their clinic visits, be responsible for their appointments and health issues, and to follow-up with their healthcare provider when needed. The ultimate goal is to help the child take responsibility for their healthcare decisions by the time they turn 18. OBP would like to help make this a simple, seamless transition for everyone, as the parents’ involvement in their child’s healthcare diminishes.

    What do I look for in a pediatrician?

    Your baby is due in the next few weeks, and worry starts to set in. Will I be a good parent? What will I do if my child gets sick? Who can I turn to for reliable advice? Rest assured, many new parents fret about such matters. So relax and do what you would normally do in a crisis – Go to Oakland Bay Pediatrics! Experts say it's a good idea to actively look for a pediatrician that is not only competent but is agreeable to you. After all, this person will be your healthcare soul mate.  You'll need to feel comfortable enough with this doctor to discuss your child's ailments, immunizations, thumb sucking, bed-wetting, and changes during puberty. For now, let's concentrate on how to choose a doctor that's right for you and your family.

    Check a Pediatrician's Credentials

    The best time to start searching for a pediatrician is in the last few weeks of pregnancy before your expected due date, according to the American Academy of Pediatrics (AAP). Families who move or change insurance are encouraged to find a doctor well before the child needs a checkup or becomes sick.

    To find a good doctor, it's always nice to get positive referrals from family and friends. If that fails, ask your OB/GYN or primary care doctor for suggestions. There are also printed guides on the topic. The AAP's Caring for Your Baby and Young Child: Birth to Age 5, and The Mother's Almanac by Marguerite Kelly and Elia Parsons are two books recommended by Philip Itkin, MD, FAAP, a pediatrician in private practice at the Omaha Children's Clinic.

    Parents are also advised to check credentials, which are usually displayed on the practitioner's Profile Card or office wall. Appropriate training in pediatrics involves medical school and at least three years of residency in either pediatrics or family medicine. After that, many doctors take a test given by the American Board of Pediatrics or the American Board of Family Medicine, and if they pass, become board-certified. Websites for most insurance companies list the credentials of physicians in their plan.

    Dental Disease in Children More Common than Asthma

    Though preventable, dental disease is the most common chronic disease of childhood; it is five times more common than asthma. A child whose mouth is hurting may experience trouble sleeping, delayed speech development, have difficulty paying attention in school, and be at risk of further health problems. The medical staff at Oakland Bay Pediatrics is committed to preventing dental disease with their young patients. All physicians and medical staff were trained to do oral health screenings during well-child exams. The trainings were coordinated by Mason County Public Health (MCPH) and Washington Dental Service Foundation (WDSF).

    "Medical providers usually see a child eight times or more by age three for well-child checks," according to MCPH educator, Heidi Iyall. "It is the perfect opportunity to provide oral health screenings to try and prevent cavities."

    Oral health screenings are now recommended for all children by age one, according to the American Academy of Pediatrics and American Academy of Family Physicians.

    Nurse Practitioner, Therese Pizanti said, "Oakland Bay staff loved the training! Oral health posters and educational materials have been added to all the Clinic rooms. Staff are talking to parents about their child’s oral health and making dental referrals during well-child exams. We are also looking at the possibility of providing fluoride varnish to help protect children’s teeth from cavities."

    Call Oakland Bay Pediatrics today at (360) 426-3102 to schedule your child’s next well-child exam.