Golden Coast Management Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD27100 Issued in OR

Legal business name

GOLDEN COAST MANAGEMENT INC

Practice address

110 SW Yamhill St
Portland, OR 97204-3024

Phone

(503) 453-2240

NPI assigned

May 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Grace

Title

Ceo

Phone

(503) 453-2240

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275177600000",
    "number": "1750600730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SW YAMHILL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SW YAMHILL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043024",
            "telephone_number": "503-453-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN COAST MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-30",
        "last_updated": "2010-05-30",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-453-2240"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD27100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Goldberg
• Sana Goldberg, BA, RN, PMHNP-BC
• Stefan Goldberg, MA
• David B. Goldberger, MD
• Mark Frederic Goldby, L.AC.
• Golden Field Wellness, LLC
• Golden Flower Behavioral Services LLC
• Golden Health,LLC
• Golden Heart Center for Wellness
• Golden Life LLC

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.