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Dr. Tim Gallucci , DC

Chiropractor β€’ Portland, OR

Active NPI 1154795268 Individual Practitioner Male Practitioner
Practice location in NPPES

1111 Se Stephens St
Portland, OR 972144748

Call 9715447058 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1111 Se Stephens St

Portland, OR 972144748

Telephone 9715447058
Fax 9712449058
Organization at the Same NPPES Address or Phone
Premier Care Chiropractic, Llc Facility NPI 1710507348

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Portland and Oregon

582 active clinicians are listed under Chiropractor with a practice address in Portland, OR (1,881 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Portland

0% of these 582 clinicians have the CMS telehealth indicator.

11% of these 582 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-14
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES OR 5691

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Hope Hampton , DPT

Physical Therapist

NPI 1982198347

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location May 14, 2024

Registered at 1111 SE STEPHENS ST, PORTLAND, OR 972144748 (Tel: 9715447058)

βœ…
NPI Profile Active December 01, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 01, 2015

Registered at 4112 NE 79TH AVE, PORTLAND, OR 972184202 (Tel: 6502234707)

πŸ“
Business Mailing Address (Initial Record) December 01, 2015

Registered at 4112 NE 79TH AVE, PORTLAND, OR 972184202

πŸ‘€
Provider Name / Credentials (Initial Record) December 01, 2015

Recorded as TIM GALLUCCI, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2015

Chiropractor (license number reported to NPPES: OR 5691)

🟒
Initial NPI Registration & Enumeration December 01, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154795268
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2015
Last Update: May 14, 2024
Sole Proprietor: Yes

Other Chiropractors in Portland

All Chiropractors in Portland

Mailing Address

4112 Ne 79th Ave

Portland, OR 972184202

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.