Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

International Community Health Services

Organization Family Medicine Physician · NPI 1104940733

International Community Health Services is a Family Medicine Physician 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
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