| Golden Coast Management Inc | |
|
110 Sw Yamhill St Portland OR 97204-3024 | |
| (503) 453-2240 | |
| Not Available |
| Full Name | Golden Coast Management Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Sw Yamhill St, Portland, Oregon |
| Authorized Official Name and Position | Michael Grace (CEO) |
| Authorized Official Contact | 5034532240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Coast Management Inc 110 Sw Yamhill St Portland OR 97204-3024 Ph: () - | Golden Coast Management Inc 110 Sw Yamhill St Portland OR 97204-3024 Ph: (503) 453-2240 |
| NPI Number | 1750600730 |
|---|---|
| Provider Enumeration Date | 05/30/2010 |
| Last Update Date | 05/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750600730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD27100 (Oregon) | Primary |
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