| International Community Health Services | |
|
3815 S Othello St 2nd Fl. Seattle WA 98118-3510 | |
| (206) 788-3500 | |
| (206) 788-3523 |
| Full Name | International Community Health Services |
|---|---|
| Speciality | Dentist |
| Location | 3815 S Othello St, Seattle, Washington |
| Authorized Official Name and Position | Hermes Shahbazian (ASSISTANT FINANCE MANAGER) |
| Authorized Official Contact | 2067883618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Community Health Services Po Box 3007 Seattle WA 98114-3007 Ph: (206) 788-3600 | International Community Health Services 3815 S Othello St 2nd Fl. Seattle WA 98118-3510 Ph: (206) 788-3500 |
| NPI Number | 1588743819 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 03/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588743819 | NPI | - | NPPES |
| 5047345 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 600436519 (Washington) | Primary |
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