Organization · Type 2 NPI

Premier Care Chiropractic, LLC

Chiropractor · Portland, OR

NPI number 1710507348 Active

Practice location

1111 SE Stephens St
Portland, OR 97214-4748

Call (971) 544-7058 Map

Fax (971) 244-9058

Mailing address

524 SE 14th Ave
Portland, OR 97214-2428

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	None listed
Acupuncturist	171100000X	None listed
Massage Therapist	225700000X	None listed

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

6 other providers at this address

Other chiropractor providers in Portland

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NPI record

NPI: 1710507348
Entity type: Organization (Type 2)
Issued: Apr 23, 2020
Last updated: May 14, 2024
Status: Active

Other names

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Premier Care Chiropractic · doing business as
Premier Care Chiropractic · doing business as

Authorized official

Dr. Tim Gallucci, DC
Owner
(971) 544-7058

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710507348

Premier Care Chiropractic, LLC's National Provider Identifier is 1710507348, issued on Apr 23, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on May 14, 2024.