PREMIER CARE WELLNESS COMPANY NPI 1053012583

NPI Information

  • NPI: 1053012583
  • Provider Name: PREMIER CARE WELLNESS COMPANY
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 524 SE 14TH AVE
    PORTLAND, OR
    ZIP 97214
  • Phone: (971) 544-7058

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NPI Details

PREMIER CARE WELLNESS COMPANY is a chiropractor in Portland, OR. The provider is 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. PREMIER CARE WELLNESS COMPANY NPI is 1053012583. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

524 SE 14TH AVE
PORTLAND, OR
ZIP 97214-428
Phone: (971) 544-7058
Fax: (971) 244-9058

The provider's authorized official is Timothy Gallucci .
The authorized official title is Owner and has the following contact phone number (971) 544-7058.

The enumeration date for this NPI number is 3/13/2023 and was last updated on 3/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturistNo
2225700000XMassage TherapistNo
3111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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