Staff: Doctors, Providers, and Management

Every Staff Member at Associated Dermatology & Advanced Laser Clinic is dedicated to raising awareness of and lowering the risk of skin cancer.
Certifications & Accreditation
Board Certified | General Dermatology | Specializing in Dermatopathology


2018, 2019, 2020 and 2021

Jeffry A. Goldes, M.D. is a physician who is Board Certified in General Dermatology, Anatomic Pathology, and Dermatopathology Sub Specialty Fellowship. Jeff is an Army brat born in Honolulu, Hawaii. He graduated from Boston University School of Medicine. He received training in Anatomic Pathology, Dermatology and Dermatopathology, both at the University of Washington, in Seattle, and University of Minnesota, Minneapolis.

Dr. Goldes was in military practice with the U.S. Air Force at Andrews Air Force Base, Maryland, and subsequently practiced in private in Washington D.C. He has been in Helena, Montana, since 1990. He is a member of numerous specialty societies including the American Academy of Dermatology, and Montana Academy of Dermatology, Montana Medical Association and American Society of Dermatopathology. Dr. Goldes has been a member of the Test Committee for Dermatopathology for the American Board of Pathology. He has published numerous research articles and contributed to many textbook chapters about dermatology and dermatopathology topics.

Dr. Goldes is active in the community. He was a member of the Air Force Reserves and the Montana Army National Guard for years. He was activated during the Persian Gulf War and served at Wilford Hall U.S.A.F. Medical Center, Texas. He left the military in 2002, after 27 years of active and reserve duty. He volunteers to see patients through the Cooperative Health Center, the Leo Pocha Clinic and God’s Love Homeless Shelter. He remains in the International Society of Dermatopathology and as a patron of that society, encourages more international cooperation in Dermatopathology.

Jody Isbell, PA-C, MPAS

Jody is a Certified Physician Assistant raised in Helena who graduated from Carroll College with a bachelor’s degree in Biology. She obtained her master’s degree in Physician Assistant Studies at Idaho State University in 2009. A Diplomate Fellow with the Society of Dermatology Physician Assistants, she loves the challenging nature of dermatology and collaborating with other providers to optimize patient care. Additionally, she has over 7 years of experience in a thriving orthopedic clinic. She enjoys mountain biking, skiing/snowboarding, community theater, crafting, and spending time with her family. Jody joined the clinic in 2016.

Julie Flesch, FNP-BC

Julie Flesch grew up all around the world but has called Montana HOME since she moved to Butte in 1982. She received a Bachelor of Science in Business Administration from Eastern Montana College (1992) in Billings, and then went on to graduate with a Bachelor of Science in Nursing (2000) and her Master’s Degree in Nursing (2011) from Montana State University. She worked most of her RN career in the Emergency Department in Great Falls and Billings. She practiced family medicine for 6+ years and Phlebology for 3 years before joining Associated Dermatology. She has a teenaged son and is engaged to her greatest friend, Buel. She enjoys spending time at their cabin, spending time on their surf boat, and generally being outdoors and active! She has a special passion for our military members, and especially for the Montana Air National Guard. She enjoys meeting new people and learning about their experiences.

Leigha Shilhanek, DNP, FNP-C, RN

Leigha Shilhanek was born and raised in Billings and attended Carroll College for her bachelor’s degree in Nursing. She worked as a nurse for 7 years in cardiology and intensive care before graduating with her Doctorate in Nursing from Arizona State University in 2018. Leigha completed a dermatology fellowship and worked for several years as a Nurse Practitioner at a large dermatology practice in Arizona before being called home to Montana. She is excited to return with her husband and young son to enjoy all the mountain state has to offer. Leigha enjoys hiking, skiing, reading, and cooking. She is passionate about the prevention and early detection of skin cancer and enjoys helping patients feel confident in their skin.

Billie Orchard, Board Certified Radiation Therapist

Billie is a Board Certified Radiation Therapist. She attended Montana State University and furthered her education in radiation at Weber State in Ogden, Utah. She is board certified in radiologic technology as well as radiographic and computer tomography. Her priority is helping patients understand the non-surgical cure for non-melanoma skin cancers. Billie was raised on a cattle ranch in the heart of the Big Horn mountains in Ten Sleep, Wyoming. She grew to love small towns and outdoor activities. Billie has lived in Helena for 18 years and enjoys spending time with her husband and son.

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