OrganizationActive
The Wig Gallery LLC
NPI 1245806934 · Preferred Provider Organization · Portland, OR
Provider details
- NPI number
- 1245806934
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Debra Petrie, Owner(503) 255-3432
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8401 Ne Halsey St Ste 101
Portland, OR 97220-5670
Phone: (503) 253-5680
Street-level locationGet directions
Mailing address
13918 Ne Milton St
Portland, OR 97230-2975
Registry dates
- Enumerated
- 2021-06-02
- Last updated
- 2021-06-02
- Certified
- 2021-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.