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Organization
PREMIER CARE CHIROPRACTIC, LLC
Active
Organization
PREMIER CARE CHIROPRACTIC, LLC
Active
Other names
Premier Care Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM GALLUCCI DC (OWNER)
(971) 544-7058
Entity
Organization
Contact information
Practice address
1111 SE STEPHENS ST, PORTLAND, OR 97214-4748
(971) 544-7058
(971) 244-9058
Mailing address
524 SE 14TH AVE, PORTLAND, OR 97214-2428
(971) 544-7058
(971) 244-9058
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154795268
NPI
—
Enumeration date
04/23/2020
Last updated
05/14/2024
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