Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

International Community Health Services

Organization Family Medicine Physician · NPI 1104940733

International Community Health Services provides Family Medicine Physician services in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

3815 S Othello St 2nd Fl
Seattle, WA 98118-3510 Not confirmed with CMS for 18 years — call before visiting
Phone: (206) 788-3500
Fax: (206) 788-3521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (WA)

Record details

NPI number1104940733
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationInternational Community Health Services
Authorized official Peggy Phung — Assistant Finance Manager · (206) 788-3605
Other names Holly Park Medical & Dental Clinic
NPI enumeratedMarch 19, 2007
Last updated in NPPESDecember 20, 2007
Mailing addressPo Box 24911, Seattle, WA 98124-0911

Other providers in Seattle