Active NPI
Healing Wings International PLLC
- Hospitalist Physician
- Clarkston, WA
National Provider Identifier
1073955266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD603948250
- Legal business name
- HEALING WINGS INTERNATIONAL PLLC
- Practice address
- 1221 Highland Ave
Clarkston, WA 99403-2829 - Phone
- (509) 758-5511
- NPI assigned
- Jul 29, 2013
- Last updated
- Jul 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Labrecque
- Title
- Accts. MGR
- Phone
- (702) 453-3799
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60394820 | WA | |
| Hospitalist Physician | 208M00000X | MD603948250 | WA | Primary |
Addresses
Primary practice location
1221 Highland Ave
Clarkston, WA 99403-2829
Mailing address
PO Box 90279
Phoenix, AZ 85066-0279
Phone (702) 453-3799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD60394820 | Other | WA | MD60394820 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375056000000",
"number": "1073955266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90279",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850660279",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 HIGHLAND AVE",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032829",
"telephone_number": "509-758-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING WINGS INTERNATIONAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-29",
"last_updated": "2013-07-29",
"status": "A",
"authorized_official_last_name": "LABRECQUE",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "ACCTS. MGR",
"authorized_official_telephone_number": "702-453-3799"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60394820",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD603948250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD60394820",
"identifier": "MD60394820",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.