THE WIG GALLERY LLC

PORTLAND, OR
NPI1245806934
Entity TypeOrganization
Authorized ContactDEBRA ANN PETRIE
Owner
503-255-3432
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2021-06-02
Last Update Date2021-06-02
Business Address
THE WIG GALLERY LLC
8401 NE HALSEY ST STE 101
PORTLAND, OR 97220-5670
Phone number: 503-253-5680
Mailing Address
THE WIG GALLERY LLC
13918 NE MILTON ST
PORTLAND, OR 97230-2975
Phone number: 503-255-3432
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