Holly Park Medical & Dental Clinic – Community Health Registered Nurse, NPI 1275657819

Holly Park Medical & Dental Clinic is a healthcare provider. based in Seattle, Washington. specializing in Community Health Registered Nurse. The NPI Number for Holly Park Medical & Dental Clinic is 1275657819

Main info

Organization
Name
Holly Park Medical & Dental Clinic
NPI
1275657819
Phone
(206) 788-3600
Address
PO BOX 24911
Authorized Official
MS. HERMES SHAHBAZIAN CFO
Enumeration Date
19 March 2007
Last Update Date
29 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Holly Park Medical & Dental Clinic

  • PO BOX 24911

    SEATTLE, WA 981240911

    Phone: (206) 788-3600

    Fax: (206) 652-5216

    Type: Mailing

  • 3815 S OTHELLO ST

    2ND FLOOR

    SEATTLE, WA 981183510

    Phone: (206) 788-3500

    Fax: (206) 788-3521

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98124)

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Reviews

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Frequently asked questions

Can I verify Holly Park Medical & Dental Clinic with an NPI only?
You can start verification with NPI 1275657819 for Holly Park Medical & Dental Clinic, then check state licensing separately.
Does CMS list Holly Park Medical & Dental Clinic as active?
Yes — Holly Park Medical & Dental Clinic is active in the NPI listing used on this page.
What taxonomy line describes Holly Park Medical & Dental Clinic?
For research purposes, treat Holly Park Medical & Dental Clinic as Community Health Registered Nurse in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Holly Park Medical & Dental Clinic?
Holly Park Medical & Dental Clinic's geographic hint is Seattle, Washington in our summary view.
Why does Holly Park Medical & Dental Clinic have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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