Meet Our Staff






Dr. Jeff Siems
Diplomate, American College of Veterinary Radiology

Dr. Siems moved to Spokane, WA in 1999 and opened Inland Empire Veterinary Imaging. When away from the office he enjoys traveling, spending time with his family, the outdoors, hunting, and fishing.


Undergraduate: Major-biology, Minor-chemistryEastern Montana College, Billings, MT, 1987 
Masters Degree: Bioveterinary Science, Utah State University, Logan, UT, 1989
Veterinary School: Oregon State University, Corvallis, OR, 1993

Internship: Small Animal, Purdue University, West Lafayette, IN 1993-1994 
Residency: Diagnostic Imaging, Purdue University, West Lafayette, IN 1994-1997
Clinical Instructor:  Diagnostic Imaging, Purdue University, West Lafayette, IN 1997-1999 
Board Certification:  American College of Veterinary Radiology,  1998



Dr. Sammy Ramirez
Diplomate, American College of Veterinary Radiology

Dr. Sammy Ramirez was born and raised in South Texas where his interest in Veterinary Medicine stemmed from working on the family cattle ranch.  He received his DVM degree from Texas A&M University in 1989.  Dr. Ramirez is double boarded in Large Animal Internal Medicine and Radiology.  Dr. Ramirez completed a three-year residency in radiology at North Carolina State University and then moved to Louisiana State University where he was an Assistant Professor of Veterinary Radiology from 2002 to 2005.  After leaving LSU, he established Southland Veterinary Imaging, a private radiology consulting business.  Dr. Ramirez joined IEVI at the beginning of 2008.




Mary Vawter
Office Manager









Heather Grenier
Veterinary Assistant

Heather started working at veterinary clinics at the age of 15 and started at IEVI in 2008.

She has a mini zoo including multiple gypsy vanner horses which she enjoys breeding and riding in her spare time.  She also enjoys cooking and spending time outdoors with her son. 




Melea Knott

Licensed Veterinary Technician

Melea graduated from Bellingham Technical College veterinary technician program in the fall of 2015.  Joining our team in November 2016. She enjoys continuing her education in radiology and anesthesia.  In her free time she likes to spend it with her husband and heeler. They enjoy all the outdoor activities Eastern Washington has to offer and hope to one day own some property and start a farm.





Kim Cameron
Veterinary Technicia
Kim has worked in veterinary med
icine since 1993 and graduated from the Veterinary Technician Program of Portland Community College in 1997.  She and her husband moved to Spokane the same year and have a full house with a son, daughter, 3 dogs and 5 cats.  Kim enjoys camping, fishing and hiking with her family.  Kim has worked for the Pet Emergency Clinic since 2004 and started with IEVI as well in 2011. Kim is active in the Washington State Association of Veterinary Technicians as well as a past president.  She is also a member of the National Association of Veterinary Technicians in America.





Tiana Rensen


I joined IEVI in March 2017.  I have worked around animals most of my adult life and wouldn't  have it any other way.  I enjoy nature and love to be out on a lake in the summer with my fiance and daughter.