This permanent Physician/Internal Medicine position offers a $256,000 salary before loans or benefits at a growing public hospital district with no competition. The role features a 4-day work week option, seven weeks of paid time off, and an average patient load of 18 per day, with no inpatient duties required. The location provides abundant outdoor recreational opportunities, including skiing, hiking, fishing, and equestrian activities, with Seattle nearby for additional lifestyle amenities.