Organization
PACIFICA MEDICINE
Active
Other names
CHYMIYMATTYMDLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE MATTY MD (OWNER)
(360) 297-8805
Entity
Organization
Contact information
Practice address
19036 FRONT ST NE # 100, POULSBO, WA 98370-7354
(360) 979-0569
(877) 805-9505
Mailing address
PO BOX 2940, POULSBO, WA 98370-2940
(360) 297-8805
(360) 297-1676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740224880
NPI
WA
01
—
1871543900
NPI
WA
Enumeration date
11/17/2015
Last updated
07/27/2024
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