Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tim Gallucci, DC

Individual provider Chiropractor · NPI 1154795268

Tim Gallucci, DC is a Chiropractor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2015
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Practice location Address checks out

1111 SE Stephens St
Portland, OR 97214-4748
Phone: (971) 544-7058
Fax: (971) 244-9058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5691 (OR)

Record details

NPI number1154795268
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedDecember 1, 2015
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024
Mailing address4112 Ne 79th Ave, Portland, OR 97218-4202

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