W. Barrett Payne, MD, is a board-certified orthopedic surgeon with a special interest in knee, hip, and shoulder arthroscopy including complex reconstruction, repair of ligament, tendon, and rotator cuff injuries.As a physician and surgeon, Dr. Payne feels a profound responsibility to provide the best possible care for every patient he has the privilege to serve. He accomplishes this by communicating clearly, being an empathetic provider, using sound judgment, and involving his patients in the decision-making process. He uses the best technical skills with the latest and most advanced technologies. He strives to always make himself available to answer questions and address concerns throughout the treatment process. Dr. Payne is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Tendinitis, Osteoarthritis, Bursitis, Tenosynovitis, and Hip Replacement.

Julian S. Arroyo, MD, is a board-certified orthopedic surgeon who specializes in shoulder reconstruction, upper extremity orthopedic surgery, and sports medicine. He began practicing in 1996 and is the first fellowship-trained shoulder surgeon to practice in Pierce County. He is professionally interested in minimally invasive shoulder procedures and outpatient shoulder arthroplasty. He uses the most advanced surgical and non-surgical techniques available to help his patients return to a normal lifestyle more quickly and with fewer complications.Dr. Arroyo is a frequent contributor to leading orthopedic journals and lectures and instructs physicians in advanced shoulder reconstruction techniques. He also has worked with major manufacturers, assisting in development and design of orthopedic implants and techniques. Dr. Arroyo is one of a select few surgeons in the state with membership in the distinguished American Shoulder and Elbow Surgery Association and is also a reviewing editor for the association’s Journal of Shoulder & Elbow Surgery. As a Pacific Northwest native, Dr. Arroyo is very active in the community. He enjoys snow skiing, water sports, fishing, hunting, and golf. Dr. Arroyo is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Frozen Shoulder, Osteoarthritis, Tendinitis, and Bursitis.

Patrick Vaughan, MD, is a board-certified orthopedic surgeon specializing in the care and education of the amateur, professional and weekend athlete. He utilizes both non-operative as well as surgical care in order to restore his patients' function and return them to the activities they love.Dr. Vaughan has been practicing orthopedic surgery in the South Sound for over 15 years. He is the medical director and team orthopedic surgeon for the Tacoma Rainiers (AAA franchise of the Seattle Mariners), and provides sports medicine coverage for Gig Harbor High School. He is the current team orthopedic surgeon for the University of Puget Sound and has worked with all of the school's varsity sports teams for over a dozen years. He served in the U.S. Navy from 2001-2005 at the Naval Hospital Pensacola as an orthopedic surgeon.He enjoys outdoor activities, such as hiking, skiing, and golf, spending time with his family, and playing sports with his two teenagers. Dr. Vaughan is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Knock Knees, Osteoarthritis, Bowlegs, Hip Replacement, and Knee Replacement.

Alan Barronian, MD, is a board-certified orthopedic surgeon with a special interest in joint replacements of the hip, knee, and shoulder including minimally invasive hip and knee replacements. He also has a special interest in sports injuries including ligament reconstruction, foot and ankle reconstruction, and fracture care. He believes that physicians and patients need to be a team during treatment. His goal is to carefully listen to his patients, determine what the problem is, and then discuss options for treatment. This way he and his patients can formulate a plan and work together to cure the problem. Treatment is frequently non-surgical but if surgery is needed he will walk through that process with each patient. Dr. Barronian is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Osteoarthritis, Baker Cyst, Rhizarthrosis, Hip Replacement, and Knee Replacement.

Michael Franceschina is an Orthopedics specialist and a Neuromusculoskeletal Medicine provider in Federal Way, Washington. Dr. Franceschina is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Osteoarthritis, Bursitis, Tendinitis, Tenosynovitis, and Hip Replacement. Dr. Franceschina is currently accepting new patients.

Ryan J. Nathe, MD, is a fellowship-trained joint replacement orthopedic surgeon. His practice focuses on arthritis of the hip and knee. In addition to initial joint replacements, Dr. Nathe's training includes complex revision of failed joint replacements.During his orthopedic surgery residency at UC Davis, Dr. Nathe was elected Administrative Chief Resident by his peers. He was sent by his residency program director and attendings to the Emerging Leaders Conference sponsored by the American Orthopaedic Association. Dr. Nathe has published on diverse topics in orthopedics including ankle injury repair techniques, Talus OCD lesions, multi-modal analgesia, and hand injuries in collegiate baseball players. He has also lectured on outpatient total joint arthroplasty as well as pre-operative templating techniques in total joint arthroplasty.Dr. Nathe enjoys being able to return his patients to a more active lifestyle. Dr. Nathe is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Osteoarthritis, Tendinitis, Bursitis, Hip Replacement, and Knee Replacement.

James D. Bruckner, MD, is a board-certified orthopedic surgeon. His clinical interests include the reconstruction and preservation of the hip and knee, as well as orthopedic oncology, including adult and pediatric musculoskeletal tumor surgery. Dr. Bruckner completed both his undergraduate and graduate work at Creighton University in Omaha, Nebraska, graduating summa cum laude with a Bachelor of Mathematics and earning magna cum laude honors from the medical school. He completed his residency and served as a clinical instructor in orthopedics with the U.S. Navy. His fellowship training was completed at Seattle at Children's Hospital and the University of Washington. While at U.W., he was an associate professor in the Department of Orthopaedics, served as Director of the hip and knee replacement service and developed the total-joint fellowship program. Dr. Bruckner has received numerous honors, awards, and peer recognition. He was Chairman of the Overlake Hospital Department of Orthopaedics from 2006 through 2010. He has three grown sons, is an avid gardener and musician, and enjoys both skiing and wakesurfing. Dr. Bruckner is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Osteoarthritis, Bone Tumor, Undifferentiated Pleomorphic Sarcoma, Knee Replacement, and Hip Replacement.

Eric Puttler, MD, is a board-certified orthopedic surgeon who performs anterior approach total hip arthroplasty, knee arthroplasty, knee arthroscopy to include ACL reconstruction, shoulder arthroscopy to include rotator cuff repair, and provides fracture care to include distal radius fractures, collarbone fractures, and proximal humerus fractures. After completing his residency in orthopedic surgery he had several duty assignment in the US Army, including a year in Iraq in command of a Forward Surgical Team. Dr. Puttler has three beautiful daughters who keep him and his wife busy. He enjoys snow skiing, waterskiing, and all that the Pacific Northwest has to offer. Dr. Puttler is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Osteoarthritis, Tendinitis, Bursitis, Hip Replacement, and Knee Replacement.

Tyler J. Nathe, MD, is an orthopedic surgeon treating both sports medicine and general orthopedic patients. His practice has a special focus on arthroscopic surgery and sports injuries as well cartilage transplant procedures and the treatment of complex fractures. He finds great satisfaction in helping athletes of all types return to action.Dr. Nathe received his BS in chemistry and medical degree from the University of Washington. He completed his residency at UC Davis, one of the top orthopedic training programs in the country. He then completed a fellowship in orthopedic sports medicine and arthroscopy at UC Davis. He is a published author on the topic of sports medicine with articles appearing in The American Journal of Sports Medicine and Clinical Orthopaedics and Related Research. He was honored with an award for his research on injuries in collegiate baseball players. Dr. Nathe has lectured on topics that include complex ligament reconstruction of the knee and shoulder problems in overhead athletes.Dr. Nathe was a collegiate student-athlete competing in soccer for one season with Bellevue College and a spring season with the University of Washington. That summer he sustained a knee injury wakeboarding and focused his efforts on cycling. He competed in road, mountain, and cyclocross racing and in the collegiate road cycling national championships with the University of Washington cycling team. He is still a sports enthusiast and enjoys snowboarding, wakeboarding, mountain biking, cycling, rock climbing, and crossfit workouts.Dr. Nathe serves as a team physician for the Bellevue High School Football team, Mt. Si High School Football team, and the US Ski and Snowboard Association. He finds great satisfaction in helping athletes of all types return to action.Dr. Nathe is a proud, born-and-raised Washingtonian, growing up in Yakima. He met his wife Sharon at UW School of Medicine and together they have three children. Tyler and his family are thrilled to be back in Washington State near family and friends. Dr. Nathe is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Osteoarthritis, Small Patella Syndrome, Sandhaus Ben-Ami Syndrome, Hip Replacement, and Knee Replacement.

Christopher Boone, MD, is a fellowship-trained orthopedic surgeon specializing in complex fracture care as well as disorders of the hip and pelvis. Dr. Boone has strong ties to the Northwest. After playing two years of collegiate basketball, he finished his undergraduate degree in Biology at Western Washington University in Bellingham. He attended medical school at the University of Washington in Seattle and then completed his orthopedic residency at Beaumont Hospital in Michigan. After residency, Dr. Boone went on to complete subspecialty training in Traumatology and Hip and Pelvic Reconstruction at Stanford University in Palo Alto, California. Dr. Boone has notable experience in the care of all types of fractures as well as treatment of complex hip disorders such as osteoarthritis, hip dysplasia, Femoroacetabular impingement (FAI), and labral tears. He has extensive training in complex hip surgery including peri-acetabular osteotomies, hip arthroscopy and labral repair, surgical hip dislocations, and minimally invasive anterior hip replacement surgery. He is also experienced in treating difficult nonunions and malunions as well as osteomyelitis or post-operative infections. Dr. Boone has also been a productive research scientist, presenting his work at national meetings and publishing articles in national and international medical journals. Dr. Boone’s outside interests include skiing and the occasional basketball pickup game. He and his wife Carmen Betz-Boone, also a native Washingtonian and longtime member of the Washington wine community, live in Redmond and spend much of their free time playing with their two boys. Special interests: Fractures of the upper extremity and lower extremity as well as fractures of the pelvis and acetabulum, non-unions, mal-unions, and bone infections, as well as disorders of the hip including femoroacetabular impingement (FAI), dysplasia, labral pathology, and treatment of hip arthritis with the minimally invasive anterior approach. Dr. Boone is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Osteoarthritis, Coccydynia, Beukes Familial Hip Dysplasia, Hip Replacement, and Knee Replacement.

Christopher Van Hofwegen (“Van-Hof-Wagon” or “Dr. Van”), MD, joined our office in August of 2010. He graduated from the University of Iowa Carver College of Medicine and continued his residency as a Hawkeye. He finished his Sports Medicine Fellowship at the Hughston Clinic in Columbus, Georgia. Dr. Van Hofwegen moved to Whatcom County with his wife, who is originally from Nooksack and is a practicing Family Physician. They are the parents of three children. Dr. Van Hofwegen is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Osteoarthritis, Frozen Shoulder, Tendinitis, Bursitis, and Hip Replacement.

Thiran Udawatta, MD, is fellowship trained in foot and ankle surgery at the world-renowned Harborview Medical Center in Seattle, WA. He joins Proliance Pacific Rim Orthopaedic Surgeons after his fellowship at Harborview and residency training in St. Louis. Dr. Udawatta has gained extensive training in simple and complex foot and ankle disorders. He specializes in advanced techniques for treating foot and ankle problems including arthroscopy, arthroplasty (total ankle replacement), deformity correction (flat feet and high arch feet), and fracture care among others. He also performs hip and knee replacements. Dr. Udawatta moves to Bellingham after growing up in the midwest. He comes to Bellingham with his wife, Janie, who grew up in the Seattle area and their rescue dog, Rose. In his free time, Dr. Udawatta enjoys road cycling, hiking, the outdoors, spending time with his family, making pizzas, and solving Rubik’s Cubes. Dr. Udawatta looks forward to helping Bellingham patients return to the activities they love. Dr. Udawatta is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Achilles Tendon Rupture, Osgood-Schlatter Disease, Osteochondritis Dissecans, and Osteoarthritis.

Matthew J. Robon, MD, is board-certified in hand and orthopedic surgery. He treats patients with all types of orthopedic fractures in addition to his specialty focus in hand and upper extremity surgery.In his years as a competitive All-American swimmer, he endured years of medical treatment for multiple orthopedic injuries. These experiences shaped his practice philosophy today: good patient care involves making accurate and timely diagnoses, but equally important is treating patients with respect and compassion. By helping his patients understand their problem, he can treat the immediate problem and hopefully help them avoid future injuries and pain.Dr. Robon is married and has three sons. He and his wife enjoy exploring the great outdoors by hiking, golfing, and trail running in the Cascades. Dr. Robon is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Trigger Thumb, Dupuytren Contracture, Rhizarthrosis, and Carpal Tunnel Syndrome.

Niket Shrivastava, MD, is board-certified in orthopedics with a special focus on hand and wrist surgery. In addition to his clinical experience, he has substantial research experience including serving as a postdoctoral research fellow in the Department of Orthopaedics at Columbia University and a research assistant in both the Department of Orthopaedics and Center for Bioengineering at University of Washington. Dr. Shrivastava is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Trigger Thumb, Carpal Tunnel Syndrome, Ganglion Cyst, Frozen Shoulder, and Hip Replacement.

Silas Marshall, MD, is an orthopedic surgeon specializing in orthopedic trauma and fracture care as well as general orthopedics, including hip and knee reconstruction. While he is trained in the repair of all fractures of the pelvis and extremities, He has a special interest in complex periarticular fractures and fracture nonunion and malunion work. He finds great satisfaction in helping his patients return to pre-injury activity levels.Dr. Marshall received his medical degree from Drexel University College of Medicine, graduating with membership to the Alpha Omega Alpha honors society. He completed his residency in orthopaedic surgery at the University of Connecticut where he received the Journal of Orthopaedic Trauma “Best Teaching Resident” award. He went on to complete his fellowship in Orthopaedic Trauma at the University of California, San Francisco. Dr. Marshall is a published author on the topic of orthopaedic trauma in several texts and has lectured on many topics related to orthopaedic trauma and bone healing.Dr. Marshall is a published author on the topic of orthopedic trauma and has lectured on orthopedic trauma and bone healing. He was a collegiate athlete at Middlebury College in Vermont, competing in cross country as well as indoor and outdoor track and field. He enjoys skiing, golf, woodworking, and cooking. He and his wife have two children. Dr. Marshall is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Achilles Tendon Rupture, Osteoarthritis, Infectious Arthritis, Hip Replacement, and Osteotomy.

O Macdonald is a Radiation Oncologist in Spokane, Washington. Dr. Macdonald is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Pleuropulmonary Blastoma, Lung Cancer, Prostate Cancer, and Familial Prostate Cancer. Dr. Macdonald is currently accepting new patients.

Todd Barnett is a Radiation Oncologist in Seattle, Washington. Dr. Barnett is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Familial Pancreatic Cancer, Pleuropulmonary Blastoma, Lung Cancer, and Follicular Thyroid Cancer. Dr. Barnett is currently accepting new patients.

Brian Mayeda is an Orthopedics provider in Seattle, Washington. Dr. Mayeda is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Osteoarthritis, Bursitis, Tendinitis, Tenosynovitis, and Hip Replacement. Dr. Mayeda is currently accepting new patients.

Christopher Lee is a Radiation Oncologist in Spokane, Washington. Dr. Lee is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Familial Prostate Cancer, Lung Cancer, Pleuropulmonary Blastoma, Prostate Cancer, and Gamma Knife Radiosurgery. Dr. Lee is currently accepting new patients.

Wayne Lamoreaux is a Radiation Oncologist in Spokane, Washington. Dr. Lamoreaux is rated as an Experienced provider by MediFind in the treatment of Progressive Osseous Heteroplasia. His top areas of expertise are Posterior Fossa Tumor, Familial Prostate Cancer, Lung Cancer, Pleuropulmonary Blastoma, and Gamma Knife Radiosurgery. Dr. Lamoreaux is currently accepting new patients.