TIM GALLUCCI DC
NPI 1154795268
Chiropractor in Portland, OR

Active since December 01, 2015
1111 SE STEPHENS ST, PORTLAND, OR 97214(971) 544-7058(971) 244-9058 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2024, Dec 1, 2015 (2 updates tracked since 2015).

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
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

Accepted 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.

Massage Therapist
1111 SE STEPHENS ST
PORTLAND, OR 97214
Chiropractor (Sports Physician)
1111 SE STEPHENS ST
PORTLAND, OR 97214
Physical Therapist
1111 SE STEPHENS ST
PORTLAND, OR 97214
Chiropractor
1111 SE STEPHENS ST
PORTLAND, OR 97214
Massage Therapist
1111 SE STEPHENS ST
PORTLAND, OR 97214
Physical Therapist
1111 SE STEPHENS ST
PORTLAND, OR 97214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tim Gallucci's NPI number?

The NPI number for Tim Gallucci is 1154795268. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Where is Tim Gallucci located?

Tim Gallucci practices at 1111 SE Stephens St, Portland, OR 97214. The listed phone number is (971) 544-7058.

What is Tim Gallucci's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Tim Gallucci accept?

Health plans from PacificSource Health Plans list Tim Gallucci as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tim Gallucci was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.