International Clinic, Harborview

Ground West Clinic
325 9th Avenue
Box 359895
Seattle, WA 98104
Unexpected Absence:

E-mail Nicole Ahrenholz () and the clinic staff (

Planned Absence (at least 30 days in advance):

Nicole Ahrenholz, MD,

Education Director:
Nicole Ahrenholz, MD
Administrative Contact:
Anita Leake, RN


The International Medicine Clinic at Harborview Medical Center is a small clinic that provides primary care to poor, medically indigent, non-English-speaking refugee and immigrant populations in King County. Patients typically originate from Southeast Asia or East Africa, and many have complex chronic medical conditions, co-existing with cultural adjustment issues, social problems, depression, anxiety, and post-traumatic stress disorder. Residents learn how to care for culturally diverse populations, work with interpreters, and serve as patient advocates. They gain an awareness of the epidemiology of disease in other parts of the world and different health systems and practices. Weekly pre-clinic conferences are tailored to the clinic’s unique population. Residents interested in this clinic should have willingness to work with interpreters, a strong commitment to the underserved, and an interest in addressing global health disparities. Also, because of the inherent challenges of building and maintaining a patient panel in this vulnerable population, we require a three-year commitment during residency.