The Wig Gallery Llc

LBN: The Wig Gallery Llc
The Wig Gallery Llc is an health care organization with primary practice located at 8401 Ne Halsey St Ste 101 , Portland OR 97220-5670. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. The Wig Gallery Llc can be contacted via phone (503) 253-5680, or through Petrie, Debra Ann via phone (503) 255-3432.

Contact Information

Primary practice address
8401 Ne Halsey St Ste 101 Portland OR 97220-5670
Phone: (503) 253-5680
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petrie, Debra Ann
Phone: (503) 255-3432

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1245806934
LBN Legal business name The Wig Gallery Llc
DBA Doing business as
Authorized official Petrie, Debra Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2021
Last updated Jun 2nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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