Chymiymattymdllc

LBN: Pacifica Medicine
Chymiymattymdllc is an health care organization with primary practice located at 19980 10Th Ave Ne Ste 202 , Poulsbo WA 98370-6322. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pacifica Medicine can be contacted via phone (360) 979-0569, or through Matty, Marie via phone (360) 297-8805.

Contact Information

Primary practice address
19980 10Th Ave Ne Ste 202 Poulsbo WA 98370-6322
Phone: (360) 979-0569
Fax: (877) 805-9505
Website:
Map and Directions
Authorized official contact:
Name: Matty, Marie Doctor of Medicine (MD)
Phone: (360) 297-8805

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Washington

Profile Details

NPI number 1831563600
LBN Legal business name Pacifica Medicine
DBA Doing business as Chymiymattymdllc
Authorized official Matty, Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2015
Last updated Apr 10th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831563600 NPPES
Washington Other 1740224880 NPI
Washington Other 1871543900 NPI

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