Organization
GOLDEN COAST MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GRACE (CEO)
(503) 453-2240
Entity
Organization
Contact information
Practice address
110 SW YAMHILL ST, PORTLAND, OR 97204-3024
(503) 453-2240
Mailing address
110 SW YAMHILL ST, PORTLAND, OR 97204-3024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27100
OR
Other
Enumeration date
05/30/2010
Last updated
05/30/2010
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