# HEALING WINGS INTERNATIONAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073955266
- **Authorized official:** LORI LABRECQUE (ACCTS. MGR)
- **Authorized official phone:** (702) 453-3799

## Contact information

- **Practice address:** 1221 HIGHLAND AVE, CLARKSTON, WA 99403-2829
- **Practice address phone:** (509) 758-5511
- **Mailing address:** PO BOX 90279, PHOENIX, AZ 85066-0279
- **Mailing address phone:** (702) 453-3799
- **Mailing address fax:** (702) 453-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD60394820 | WA | — |
| 208M00000X | Hospitalist Physician | MD603948250 | WA | Yes |

## Other

- **Enumeration date:** 07/29/2013
- **Last updated:** 07/29/2013