The Pacific Coast Middleweight Championship was a professional wrestling championship that was contended for in the Pacific Northwest from the 1920s to the late 1930s.

Title history Key SymbolMeaningNo.The overall championship reignReignThe reign number for the specific wrestler listed.EventThe event in which the championship changed handsN/AThe specific information is not known —Used for vacated reigns in order to not count it as an official reign[Note #]Indicates that the exact length of the title reign is unknown, with a note providing more details. #WrestlerReignDateDays heldLocationEventNotesRef.11Portland, OregonHouse show Defeated Henry Irslinger to become the first champion          21Before 1933N/AHouse show  31Eugene, OregonHouse show  41 Eugene, Oregon House show           51 Portland, OregonHouse showDefeated Danny McShain to win the title, unclear if McShain was the champion or if it was a tournament.          61 Eugene, OregonHouse show Defeated Buck Lipscomb to win the title, unclear if Lipscomb was the champion or if it was a tournament.           71Before April 1938N/AHouse show  

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