OrganizationActive
Puyallup Imaging Consultants LLC
NPI 1083911127 · Vascular & Interventional Radiology Physician · Puyallup, WA
Provider details
- NPI number
- 1083911127
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nelson Goehle, Ceo(253) 435-5195
- License
- 603071995 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12623 Meridian E
Suite A1
Puyallup, WA 98373-3469
Phone: (253) 435-5195
Fax: (253) 435-5482
Street-level locationGet directions
Mailing address
12623 Meridian E
Puyallup, WA 98373-3469
Registry dates
- Enumerated
- 2011-02-25
- Last updated
- 2011-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.