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HOLLY PARK MEDICAL & DENTAL CLINIC
NPI 1275657819
Registered Nurse - Community Health in Seattle, WA

Active since March 19, 2007
3815 S OTHELLO ST, 2ND FLOOR, SEATTLE, WA 98118(206) 788-3500(206) 788-3521 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2021, Jan 26, 2021 (2 updates tracked since 2021).

About Holly Park Medical & Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY PARK MEDICAL & DENTAL CLINIC (NPI 1275657819) is a healthcare organization registered as a community health in Seattle, Washington and active in the NPI registry since March 2007. The organization lists Hermes Shahbazian, Cfo, as its authorized official.

NPPES Registry Identity

NPI1275657819
Entity TypeOrganization
Primary Taxonomy163WC1500X
Legal Business NameINTERNATIONAL COMMUNITY HEALTH SERVICES
Location Address3815 S OTHELLO ST, 2ND FLOORSeattle, WA 98118-3510
Mailing AddressPo Box 24911Seattle, WA 98124-0911 · (206) 788-3600 · Fax (206) 652-5216
Phone(206) 788-3500
Fax(206) 788-3521
Organization SubpartYes
Authorized OfficialHermes ShahbazianCfo · (206) 788-3618
Enumeration DateMarch 19, 2007
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1275657819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
3815 S OTHELLO ST, Seattle, WA 98118
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Other Names 1

Other NameHolly Park Medical & Dental Clinic

Other Identifiers 1

Medicaid7408479WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA TO DNP, ARNP, FNP-BC
Nurse Practitioner (Family)
3815 S OTHELLO ST
SEATTLE, WA 98118
King County (206) 788-3500
JINHEE DORSEY
Nurse Practitioner (Family)
3815 S OTHELLO ST
SEATTLE, WA 98118
King County (206) 788-3500
LINGSHAN CHEN ARNP
Nurse Practitioner (Family)
3815 S OTHELLO ST
SEATTLE, WA 98118
King County (206) 788-3500
ROSELINE BUYEKA RN
Obstetrics & Gynecology (Obstetrics)
3815 S OTHELLO ST
SEATTLE, WA 98118
King County (425) 524-5066
NICOLE THERESA REES PA-C
Physician Assistant
3815 S OTHELLO ST
SEATTLE, WA 98118
King County (206) 788-3500
INTERNATIONAL COMMUNITY HEALTH SERVICES
Family Medicine
3815 S OTHELLO ST, 2ND FLOOR
SEATTLE, WA 98118
King County (206) 788-3500
MRS. DOQUYEN LE HUYNH ARNP
Nurse Practitioner (Family)
3815 S OTHELLO ST
SEATTLE, WA 98118
King County (206) 788-3500
SCOTT AKIRA SATO PA
Physician Assistant
3815 S OTHELLO ST
SEATTLE, WA 98118
King County (206) 788-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is International Community Health Services's NPI number?

The NPI number for International Community Health Services is 1275657819. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is also known as Holly Park Medical & Dental Clinic.

Where is International Community Health Services located?

International Community Health Services is located at 3815 S Othello St 2nd Floor, Seattle, WA 98118. The listed phone number is (206) 788-3500.

What is International Community Health Services's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for International Community Health Services was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.