Zareth Irwin, MD, MS

Emergency Physician, Executive, Leadership & Physician Coach. Helping Leaders in Medicine and Business Lead with Clarity, Perform at Their Peak, and Build Careers That Last

Portland, Oregon Metropolitan Area

About

Most leaders I work with are exceptional. They’ve earned the credentials, navigated the obstacles, and risen to the top. And yet, something is missing... The role has changed, the pressure has compounded, or those challenges are no longer exciting. Their version of success no longer feels like the success they want to pursue... That’s the conversation I’m built for. I spent twenty years as an emergency medicine physician. A field that demands split-second decisions, equanimity under pressure, and the ability to lead a room when everything is falling apart. That training shaped me clinically AND It gave me a front-row seat to what leadership under extreme conditions looks like, and what happens when it’s done without support. I've also founded several businesses and served on Boards of Directors. I understand the pressure of leading others in the boardroom and executive suite. Today, I'm an executive, leadership, and physician coach specializing in three types of clients: • C-suite healthcare executives managing high-stakes decisions, team complexity, and the weight of organizational change. • Senior leaders across industries who are high-performing but want to reach even higher or are quietly running on empty • Physicians battling burnout or stepping into leadership roles for the first time My coaching is organized around four pillars: Clarity, Authenticity, Resilience, and Equanimity. Whether we’re working on leadership transition, an identity crisis, a performance plateau, or burnout, the goal is the same- getting you back to leading from your best self. Clients describe working with me as “the conversation I didn’t know I needed” and “a reset for how I think about my work and my life.” If you’re a physician moving into leadership, an executive navigating a transition, or a senior leader who needs a thinking partner- let’s talk. Discovery calls are complimentary. Visit irwinclarity.com or send me a DM. ----------------------------------------------------------------------- Founder, Lotus Brand Chai tea Founder, MD Delivered Founder, Dr. Z's Weed Cream Physician, Legacy Emanuel Medical Center 2015-2025 (Portland, OR). Medical director, US Medical Directors (2025-present) Board of Directors member, finance committee member Northwest Acute Care Specialists 2022-2025 (Portland, OR). POCUS co-director Legacy Health 2009-2019 Physician, Legacy Good Samaritan Medical Center 2008-2015 (Portland, OR) Physician, West Anaheim Medical Center 2007-2010 (Anaheim, CA). EM residency 2007. Point of care ultrasound fellowship, 2008 (UC Irvine).

Experience

  • Leadership, executive, and physician coach at Self-employed
    Sep 2025 - Present · 11 mos

  • Physician at zareth irwin, MD Inc
    Feb 2025 - Present · 1 yr 6 mos

    Medical Director for over 20 clinics, Medical consultant to 9 Emergency Departments

  • Medical Director at US Medical Directors
    Sep 2025 - Present · 11 mos

  • Physician coach at Z Irwin, MD Inc
    Sep 2025 - Present · 11 mos

    Helping fellow physicians connect with and prioritize the joy they derive from medicine while minimizing the pain and sacrifice inherent to this job.

  • Northwest Acute Care Specialists (18 yrs 1 mo)
    • Emergency Physician
      Jul 2008 - Present · 18 yrs 1 mo

    • Board Member
      Jan 2022 - Dec 2025 · 4 yrs

      • Served as a board member for a prominent, democratic, physician-owned emergency medicine group. • Actively participated in the finance subcommittee, contributing to strategic financial decisions. • Engaged in the RFP committee for billing companies and revenue cycle management twice over the past decade.