Individual
TIM GALLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1111 SE STEPHENS ST, PORTLAND, OR 97214-4748
(971) 544-7058
(971) 244-9058
Mailing address
4112 NE 79TH AVE, PORTLAND, OR 97218-4202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5691
OR
Other
Enumeration date
12/01/2015
Last updated
05/14/2024
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