Premier Care Wellness Company

NPI #1053012583 in Portland, Oregon

Provider Information

NPI Number: 1053012583
Entity Type: Organization
Organization Name: Premier Care Wellness Company
Primary Specialty: Chiropractor
Enumeration Date: Mar 13, 2023
Last Updated: Mar 13, 2023

Practice Location

Address: 524 SE 14TH AVE
City: Portland
State: Oregon
ZIP Code: 97214-2428
Phone: (971) 544-7058

Authorized Official

Name: DR. TIMOTHY GALLUCCI, DC
Title: OWNER
Phone: (971) 544-7058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Massage Therapist	225700000X
Chiropractor	111N00000X	Primary

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