PREMIER CARE CHIROPRACTIC LLC NPI 1710507348

NPI Information

NPI: 1710507348
Provider Name: PREMIER CARE CHIROPRACTIC, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
524 SE 14TH AVE
PORTLAND, OR
ZIP 97214
Phone: (971) 544-7058
Get Directions

PREMIER CARE CHIROPRACTIC, LLC 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 CHIROPRACTIC, LLC NPI is 1710507348. 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

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 4/23/2020 and was last updated on 4/23/2020.

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	Primary
1	171100000X	Acupuncturist	No
2	225700000X	Massage Therapist	No
3	111N00000X	Chiropractor	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1154795268	OTHER		NPI

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: 11/14/2023

NPI Synchronization or Removal

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