PREMIER CARE CHIROPRACTIC
NPI 1710507348
Chiropractor in Portland, OR

Active since April 23, 2020
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 16, 2026.

Record update history: May 14, 2024, Apr 23, 2020 (2 updates tracked since 2020).

About Premier Care Chiropractic NPPES

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

PREMIER CARE CHIROPRACTIC (NPI 1710507348) is a healthcare organization registered as a chiropractor in Portland, Oregon and active in the NPI registry since April 2020. The organization lists Tim Gallucci, Owner, as its authorized official.

NPPES Registry Identity

NPI1710507348
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePREMIER CARE CHIROPRACTIC, LLC
Location Address1111 SE STEPHENS STPortland, OR 97214-4748
Mailing Address524 Se 14th AvePortland, OR 97214-2428 · (971) 544-7058 · Fax (971) 244-9058
Fax(971) 244-9058
Organization SubpartNo
Authorized OfficialTim GallucciOwner · (971) 544-7058
Enumeration DateApril 23, 2020
Last NPPES UpdateMay 14, 20242 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
NPI 1710507348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedMassage TherapistTaxonomy 225700000X
1111 SE STEPHENS ST, Portland, OR 97214

Other Names 1

Doing Business AsPremier Care Chiropractic

Other Identifiers 1

Other1154795268Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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
Chiropractor
1111 SE STEPHENS ST
PORTLAND, OR 97214
Physical Therapist
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 Premier Care Chiropractic, LLC's NPI number?

The NPI number for Premier Care Chiropractic, LLC is 1710507348. It was assigned to this organization in the NPPES registry on April 23, 2020. The provider is doing business as Premier Care Chiropractic.

Where is Premier Care Chiropractic, LLC located?

Premier Care Chiropractic, LLC is located at 1111 SE Stephens St, Portland, OR 97214. The listed phone number is (971) 544-7058.

What is Premier Care Chiropractic, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Premier Care Chiropractic, LLC 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.