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

International Community Health Services

Organization Family Medicine Physician · NPI 1902983109

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

Licensed in
WA
In the registry since
2006
Specialties on file
3
Claim this listing Report a problem Suggest an edit

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

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Seattle