Center for Cancer and Blood Disorders

The Center for Cancer and Blood Disorders at PSMC is committed to providing the highest quality medical care for patients with the diagnosis of cancer or a blood disorder. PSMC’s experienced care team provides patients with a personalized, coordinated health plan that includes the oncologist, hematologist, nurse practitioner, on-site pharmacist, physical therapist, and general surgeon. PSMC’s care team provides patients with access to advanced technologies, groundbreaking oncological and hematological treatments, as well as compassionate medical care. We are here for our patients each step of their journey.
Oncology is a branch of medicine that specializes in the diagnosis and treatment of cancer. Hematology is a subspecialty of medicine that focuses on the care of patients with disorders of the blood, bone marrow and lymphatic system. Some examples of these are anemia, leukemia lymphoma, and blood clots. Some are malignant and treated as cancer; others are benign or not cancer. As unique as each cancer or blood disorder is, so are the challenges the diagnosis carries with it. Without access to quality cancer care, there can be a greater burden placed on those that choose to live in rural areas.
Understanding this, PSMC delivers experienced high-quality cancer care with individualized treatment plans tailored to each patient. PSMC’s care team takes the time to understand each unique diagnosis and each individual’s needs. PSMC’s cancer care team works together to develop an integrated treatment plan specific to each patient. There is not a single way to beat cancer or blood disorders, there are many. PSMC will assess all options available to achieve the best outcomes for our patients.
While PSMC offers the latest treatments and a level of experience not often available in rural areas, PSMC’s Cancer Center Team coordinates care with larger institutions as needed or as appropriate to best address patient needs.

Hours: Mon-Thurs 9am-4pm | Fri 9am-12pm
Phone: 970.507.4000           Fax: 970-731-1988

Infusion Center                                                   PSMC Onsite Pharmacist        

Diagnostic Imaging                                            Support Services

State-of-the-art Cancer Care Software       Patient Portal


Dr. Jordan is a Medical Oncologist and Medical Director for The Center for Cancer and Blood Disorders at PSMC. Dr. Jordan trained at MD Anderson Hospital, a top ranking cancer care center, and has over 40 years experience in oncology with more than 25 years of medical oncology management.


Dr. Buck is a board certified oncologist and fellowship trained hematologist at PSMC’s Center for Cancer and Blood Disorders. Dr. Buck has been practicing medicine since 2015 and has served as head of Gastrointestinal Medical Oncology in Tulsa, Oklahoma and Medical Director for Southwest Oncology at Mercy Regional Medical Center.


Kelly Cesary is an Advanced Practice Nurse at The Center for Cancer and Blood Disorders with 20 years experience with cancer care and chemotherapy. Most recently she was with Cancer Centers of Colorado at Saint Joseph Hospital in Denver, a nationally accredited program for breast cancer.


Dr. Tinguely is a board certified General Surgeon and Fellow of the American College of Surgeons. Prior to living in Pagosa, Dr. Tinguely practiced for over 20 years in rural Iowa. He served as Chief of Surgery at Ft. Madison Community Hospital. Dr Tinguely practices a broad range of general surgery and is accepting new patients.


Christina Reeves is the Administrative Director of The Center for Cancer and Blood Disorders at PSMC. She is a Doctor of Pharmacy with over 25 years of experience working with cancer patients and their treatment.



With 10 years as a practicing physical therapist with a certification a s a lymphedema therapist, Lauren Muir has honed her ability to work with a wide variety of patients. Lauren has a Doctorate degree in Physical Therapy from the University of Michigan-Flint and works alongside orthopedic surgeons, hospitalists, and provides PT services for Inpatient, Oncology, PACU, Pre-Admission Training, Emergency Department, Acute CVA/TIA patients.

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