Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154795268 Individual Practitioner Male Practitioner

Dr. Tim Gallucci , DC

Chiropractor • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Tim Gallucci, DC is a registered healthcare professional specializing in Chiropractor in Portland, OR. Practice services are available at 1111 SE STEPHENS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1111 Se Stephens St

Portland, OR 972144748

Telephone 9715447058
Fax 9712449058
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
594 Specialists

Practicing in Portland, OR (1950 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-14
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Sydney Nettles , LMT

Massage Therapist

NPI 1043055825

Licensed Massage Therapist

Dr. Kellin Keesee , DC

Chiropractor - Sports Physician

NPI 1124492210

Doctor of Chiropractic

NPI 1316715121

Doctor of Chiropractic

NPI 1356790281

Doctor of Chiropractic

Andrianna Laurent , LMT

Massage Therapist

NPI 1972496677

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location May 14, 2024

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

NPI Profile Active December 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2015

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

📍
Updated Business Mailing Address December 01, 2015

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

👤
Provider Name / Credentials Updated December 01, 2015

Recorded as TIM GALLUCCI, DC

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

Chiropractor (License #5691 in OR)

🟢
Initial NPI Registration & Enumeration December 01, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

4112 Ne 79th Ave

Portland, OR 972184202

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.