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.

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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
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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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All of the staff that I encountered were very helpful.  Never did I feel rushed and whenever I had a question, it was thoroughly answered.  For having surgery, Proliance Orthopedic Associates made it feel the best possible.  Dr. Shrivastava...

- Ted

// Niket Shrivastava, M.D.

Dear Dr. Barrett,Thank you for taking my husband under your care and facilitating a very successful left total hip replacement outcome.During his follow-up visit you asked him how he viewed his recovery with the anterior approach.  His response...

- Wendy

My name is Al Minish, I have had Bilateral Arthroscopic Debridement and Open Rotator Cuff Repair, and Biceps Tenodesis for work related occupational job injury of 25 years–I was a journeyman painter for Washington State Parks, Port...

- Alan M.

// Craig T. Arntz, M.D.

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.

I can’t say enough wonderful things about Dr. Barthel and the entire Proliance Orthopedic Associates staff. I’ve never experienced such thoughtful and compassionate care from a medical facility like I have at Proliance Orthopedic...

- Jessica

Not long ago, I had an accident where I was knocked unconscious, and when I came to, I could see the bones in my arm/elbow area. This is when I met Dr. Howlett at Proliance Orthopedic Associates. Dr. Howlett had great bedside manner from the...

- Ken

// John Howlett, M.D.

In November 2014, my step son was getting married and all I wanted to do was be able to walk down the isle and be able to dance at his wedding. Fortunately, I was able to do these things, but due to the pain it was difficult. The pain I felt in...

- Pamela

// 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 can’t say enough good things about Dr. Howe and his staff. I came to Dr. Howe after being told by two other surgeons that nothing was wrong with my back, and I just had a bulging disk and after injections, it would heal itself. I did...

- Samantha

// Chris R. Howe, M.D.

Dr Huang,Our daughter, Katie, was diagnosed with acute promyelocytic leukemia her senior year in high school, on Sept. 24th, 2011. She endured chemotherapy, 6 months of treatment and worked hard to be able to come back and play basketball for her...

- Katie's Mom

// Fredrick S. Huang, M.D.