The Wig Gallery LLC
NPI 1245806934ActiveOrganization· Preferred Provider Organization· Portland, OR
Preferred Provider Organization in Portland, Oregon, registered in NPPES in June 2021. The authorized official on file is Debra Ann Petrie, Owner.
Overview
| NPI | 1245806934 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 2, 2021 |
| Last updated in NPPES | Jun 2, 2021 |
| Certified by provider | Jun 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 20 Preferred Provider Organization providers in Portland · All Preferred Provider Organization providers in Oregon