Doctor examining patient's back pain with hands while patient holds lower back in discomfort

SCHEDULING MADE EASY

Choose your provider, pick your time, and book online. No back-and-forth needed.

To book an appointment with your preferred provider, please visit their profile on our website and book directly at the link found under their photo!

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Proliance Surgery Center at Valley

Named Best Ambulatory Surgery Center by U.S. News for 2025

Proliance Surgery Center at Valley has been named one of the 2025 Best Ambulatory Surgery Centers fororthopedic and spine care by U.S. News & World Report. Out of thousands of facilities reviewed nationwide, only aselect few earned this honor — Proliance Surgery Center at Valley among them.

a set of keys

POA: Named Top Orthopedic & Surgical Care Provider in WA!

We are excited to announce that we have been named one of the top orthopedic and surgical care providers in Washington by Castle Connolly for 2025!

a group of surgeons performing surgery


Proliance Surgery Center at Valley

Recognized as Top 20 ASC Performing Most Knee Replacements!

POA is among the top 20 ASCs that performed the most total knee replacement procedures in U.S. in 2022, click through to view the entire list!

Introducing Our Newest Occupational Medicine Physician Assistants

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Alma Gomez, PA-C

Alma Gomez, PA-C, joined Proliance Orthopedic Associates in 2025 and, with over 20 years of experience as a certified physician assistant, brings a depth of expertise in occupational health, emergency medicine, urgent care, and clinical trials to our team.

To book an appointment with Alma, click the link below!

Book An Appointment
Smiling bald man with gray beard in business suit and striped tie on blue background

Patrick Czaplicki, PA-C

Patrick Czaplicki, PA-C, joined POA in 2025 and specializes in the field of occupational medicine, treating a wide range of workplace injuries, developing comprehensive treatment plans that promote efficient recovery and a safe return to optimal health.

To book an appointment with Patrick, click the link below!

Book An Appointment

UNMATCHED
SPECIALIZED
CARE

Find the care you need, when and where you need it, with the region's most comprehensive orthopedic care.

Doctor in suit explaining spine model to patient inside bright medical office with Proliance logo

Relief for Chronic Back Pain



At Proliance Orthopedic Associates, we’re proud to provide compassionate, patient-centered orthopedic care that helps you get back to doing what you love. In this video, Dr. Gregorio shares how our team combines advanced techniques, surgical precision, and personalized treatment to restore mobility and improve quality of life.
Doctor explaining spine model to female patient in a bright office with window blinds and greenery outside.

Overcoming Debilitating Neck Pain



When pain limits your movement, every step can feel uncertain. In this video, Alicia shares how the specialists at Proliance Orthopedic Associates helped her return to an active, fulfilling life through expert orthopedic care and genuine compassion.
Orthopedic doctor in scrubs consulting a seated patient in a modern clinic room with Proliance logo visible.

A Surgery Center with Care Built Around You



At our Ambulatory Surgery Center (ASC), advanced technology meets personalized care. Our board-certified surgeons and dedicated staff deliver world-class orthopedic procedures in a comfortable, patient-focused environment — helping you heal faster and return to the activities you love.

HELPFUL RESOURCES

PATIENT SUCCESS STORIES

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Dear Dr. Howlett,I have had many surgeries, but I have seldom had the care that you took to explain the process I would go through. After the surgery, when I saw the X-rays, and the incision, I could tell that you had done an excellent job. More...

- Dawn

// John Howlett, M.D.

I have lived a lot of my life with limitations.  Between genetic anomalies and sports injuries, I’ve endured knee pain for more than 25 years.  As time progressed, the pain got increasingly worse and the list of things I couldn’t do got...

- Caroline E.

// Andrew L. Merritt, M.D.

My hands have been hurting for more than ten years but I didn’t know what caused it or what it was.  Then lately because of the pain and numbing, I consulted my family doctor.  He suggested consulting an orthopedic doctor.  I chose Dr....

- Fe

// Niket Shrivastava, M.D.

I’ve seen Dr. Howlett multiple times for problems with my hands. Dr. Howlett has the most calming personality that really inspires confidence as a patient.  He’s great at calming my fears and what I appreciate the most is that he really...

- Sandra W.

// John Howlett, M.D.

Dear Dr. Barrett,I just got back from my Physical Therapy session. I walked in, and I walked out. The other day, I stood at a window, (without having to use a walking aid or lean on someone) and watched the world go by. (I don’t remember the...

- Deb

I went in to see the skin doc for something little on my face. Really being vain. When I was talking she noticed a mole on my finger. (I hate this mole, came up after a burn) She said that looks like cancer and took a biopsy right away. It came...

- Dawn W.

// John Howlett, M.D.

In my early 50’s my back started bothering me. I had had a serious injury in my early 30’s and thought I may need to update my exercise routine. so, I saw a physical therapist and got regular massages. I did not experience any relief...

- Mary G.

// Chris R. Howe, M.D.

I came to see Dr. Shrivastava at Proliance Orthopedic Associates because I broke my wrist.  It was the first time that I had broken anything.  From my first visit here with Zach PA-C, till my last, everyone made me feel comfortable and at...

- Betty

// Niket Shrivastava, M.D.

I am enthusiastic to share my patient experience with Dr. Barrett and Proliance Orthopedic Associates, and to inform other people who have an interest in seeking the best care for their hip related issues.I am an experienced war horse, so to...

- Stefan

I have now had 2 surgeries at Proliance and Valley Medical and they were both top notch. First was hip replacement with Dr. Barrett a few years ago. There’s a very good reason he has been on the “Top Doctor” list for so many...

- Sue W.