# PACIFICA MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHYMIYMATTYMDLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831563600
- **Authorized official:** DR. MARIE MATTY MD (OWNER)
- **Authorized official phone:** (360) 297-8805

## Contact information

- **Practice address:** 19036 FRONT ST NE \# 100, POULSBO, WA 98370-7354
- **Practice address phone:** (360) 979-0569
- **Practice address fax:** (877) 805-9505
- **Mailing address:** PO BOX 2940, POULSBO, WA 98370-2940
- **Mailing address phone:** (360) 297-8805
- **Mailing address fax:** (360) 297-1676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | WA | Yes |

## Other

- **Enumeration date:** 11/17/2015
- **Last updated:** 07/27/2024