Fresh out of his medical residency, 32-year-old physician Peter Van Houten had always envisioned opening a small clinic in a rural community. A graduate of the University of California, San Francisco, School of Medicine, he opted to settle on the San Juan Ridge, and began looking for the perfect clinic location. The year was 1982. “I found an old storage shed that had a backhoe in it,” Van Houten said with a laugh. “Once I got the backhoe out and refurbished it, I hired a receptionist and opened the doors.” Thinking he might work about two days a week, he …