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

International Community Health Services

Organization Family Medicine Physician · NPI 1902983109

International Community Health Services provides Family Medicine Physician services in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

3815 S Othello St 2nd Fl
Seattle, WA 98118-3510
Phone: (206) 788-3500
Fax: (206) 788-3521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X · Licence 600436519 (WA)
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1902983109
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationInternational Community Health Services
Authorized official Hermes Shahbazian — Cfo · (206) 788-3618
Other names Holly Park Medical & Dental Clinic; Holly Park Medical & Dental Clinic
NPI enumeratedNovember 1, 2006
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021
Mailing addressPo Box 3007, Seattle, WA 98114-3007

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