| Healing Wings International Pllc | |
|
1221 Highland Ave Clarkston WA 99403-2829 | |
| (509) 758-5511 | |
| Not Available |
| Full Name | Healing Wings International Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 1221 Highland Ave, Clarkston, Washington |
| Authorized Official Name and Position | Lori Labrecque (ACCTS. MGR) |
| Authorized Official Contact | 7024533799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Wings International Pllc Po Box 90279 Phoenix AZ 85066-0279 Ph: (702) 453-3799 | Healing Wings International Pllc 1221 Highland Ave Clarkston WA 99403-2829 Ph: (509) 758-5511 |
| NPI Number | 1073955266 |
|---|---|
| Provider Enumeration Date | 07/29/2013 |
| Last Update Date | 07/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073955266 | NPI | - | NPPES |
| MD60394820 | Other | WA | MD60394820 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD60394820 (Washington) | Secondary |
| 208M00000X | Hospitalist | MD603948250 (Washington) | Primary |
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