TIM GALLUCCI DC - NPI 1154795268 - Chiropractor in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Tim Gallucci Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIM GALLUCCI DC (NPI 1154795268) is an individual chiropractor in Portland, Oregon, licensed in Oregon (5691) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1154795268

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameTIM GALLUCCICredential: DC

Location Address1111 SE STEPHENS STPortland, OR 97214-4748

Mailing Address4112 Ne 79th AvePortland, OR 97218-4202

Phone(971) 544-7058

Fax(971) 244-9058

Sole ProprietorYes

Enumeration DateDecember 1, 2015

Last NPPES UpdateMay 14, 20242 updates tracked since enumeration

NPPES CertifiedMay 14, 2024

✔ NPI 1154795268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OR · 5691

Definition

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.

1111 SE STEPHENS ST, Portland, OR 97214

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMIER CARE CHIROPRACTIC, LLC

Chiropractor