CHYMIYMATTYMD LLC NPI 1982073235

NPI Information

  • NPI: 1982073235
  • Provider Name: CHYMIYMATTYMD LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PACIFICA MEDICINE AND WELLNESS
  • Address: 19036 FRONT ST NE # 100
    POULSBO, WA
    ZIP 98370
  • Phone: (360) 979-0569

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NPI Details

CHYMIYMATTYMD LLC is a family medicine in Poulsbo, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHYMIYMATTYMD LLC NPI is 1982073235. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pacifica Medicine And Wellness.

The provider's business location address is:

19036 FRONT ST NE # 100
POULSBO, WA
ZIP 98370-354
Phone: (360) 979-0569

The provider's authorized official is Marie Elaine Matty .
The authorized official title is President and has the following contact phone number (360) 979-0569.

The enumeration date for this NPI number is 9/16/2015 and was last updated on 7/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD00041619WASHINGTONYes

What is NPI?

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This page was last updated on: 11/21/2025

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