OrganizationActive
International Community Health Services
NPI 1386864148 · Family Medicine Physician · Seattle, WA
Provider details
- NPI number
- 1386864148
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- International Community Health Services
- Organization subpart
- Yes
- Authorized official
- Peggy Phung, Assistant Finance Manager(206) 788-3605
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3815 S Othello St
2nd Fl.
Seattle, WA 98118-3510
Phone: (206) 788-3500
Fax: (206) 788-3521
Street-level locationGet directions
Mailing address
Po Box 24911
Seattle, WA 98124-0911
Other names (DBA / former)
- Other name
- Holly Park Medical and Dental Clinic
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2007-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.