Organization
HEALTH HEROES PNW, INC.
Active
Other names
Health Heroes of the Pacific Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY C SMITH JR. (PRESIDENT)
(206) 419-1815
Entity
Organization
Contact information
Practice address
720 S 320TH ST, STE E, FEDERAL WAY, WA 98003-5254
(206) 419-1815
Mailing address
23418 PACIFIC HWY S, PO BOX 3104, KENT, WA 98032-9994
(206) 419-1815
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
603-607-747
WA
208D00000X
General Practice Physician
Primary
603-607-747
WA
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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