| Chymiymattymdllc | |
|
19036 Front St Ne # 100 Poulsbo WA 98370-7354 | |
| (360) 979-0569 | |
| (877) 805-9505 |
| Full Name | Chymiymattymdllc |
|---|---|
| Speciality | Family Medicine |
| Location | 19036 Front St Ne # 100, Poulsbo, Washington |
| Authorized Official Name and Position | Marie Matty (OWNER) |
| Authorized Official Contact | 3602978805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chymiymattymdllc Po Box 2940 Poulsbo WA 98370-2940 Ph: (360) 297-8805 | Chymiymattymdllc 19036 Front St Ne # 100 Poulsbo WA 98370-7354 Ph: (360) 979-0569 |
| NPI Number | 1831563600 |
|---|---|
| Provider Enumeration Date | 11/17/2015 |
| Last Update Date | 07/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831563600 | NPI | - | NPPES |
| 1871543900 | Other | WA | NPI |
| 1740224880 | Other | WA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Washington) | Primary |
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