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THE WIG GALLERY LLC
NPI 1245806934
Preferred Provider Organization in Portland, OR

Active since June 02, 2021
8401 NE HALSEY ST STE 101, PORTLAND, OR 97220(503) 253-5680 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Wig Gallery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE WIG GALLERY LLC (NPI 1245806934) is a healthcare organization registered as a preferred provider organization in Portland, Oregon and active in the NPI registry since June 2021. The organization lists Debra Ann Petrie, Owner, as its authorized official.

NPPES Registry Identity

NPI1245806934
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameTHE WIG GALLERY LLC
Location Address8401 NE HALSEY ST STE 101Portland, OR 97220-5670
Mailing Address13918 Ne Milton StPortland, OR 97230-2975 · (503) 255-3432
Phone(503) 253-5680
Organization SubpartNo
Authorized OfficialDebra Ann PetrieOwner · (503) 255-3432
Enumeration DateJune 2, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1245806934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
8401 NE HALSEY ST STE 101, Portland, OR 97220
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLSPRING HEALTH SERVICE LLC
Substance Abuse Rehabilitation Facility
8401 NE HALSEY ST STE 101
PORTLAND, OR 97220
Multnomah County (503) 980-5153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Wig Gallery LLC's NPI number?

The NPI number for The Wig Gallery LLC is 1245806934. It was assigned to this organization in the NPPES registry on June 2, 2021.

Where is The Wig Gallery LLC located?

The Wig Gallery LLC is located at 8401 NE Halsey St Ste 101, Portland, OR 97220. The listed phone number is (503) 253-5680.

What is The Wig Gallery LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for The Wig Gallery LLC was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.