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Organization

GOLDEN LIFE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA GUSENKOV (MANAGER)
(503) 860-5566
Entity
Organization

Contact information

Practice address
8540 SW APPLE WAY, PORTLAND, OR 97225-1772
(503) 860-5566
Mailing address
13435 SW HAWKS BEARD ST APT 822, TIGARD, OR 97223-2127
(503) 860-5566

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
02/19/2026
Last updated
02/19/2026
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