# HEALTH HEROES PNW, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health Heroes of the Pacific Northwest
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316393036
- **Authorized official:** MR. RANDY C SMITH JR. (PRESIDENT)
- **Authorized official phone:** (206) 419-1815

## Contact information

- **Practice address:** 720 S 320TH ST, STE E, FEDERAL WAY, WA 98003-5254
- **Practice address phone:** (206) 419-1815
- **Mailing address:** 23418 PACIFIC HWY S, PO BOX 3104, KENT, WA 98032-9994
- **Mailing address phone:** (206) 419-1815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 603-607-747 | WA | — |
| 208D00000X | General Practice Physician | 603-607-747 | WA | Yes |

## Other

- **Enumeration date:** 05/12/2016
- **Last updated:** 05/12/2016