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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us