PLCV III Operation, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

PLCV III OPERATION, LLC

Practice address

525 SW Anique LN
Grants Pass, OR 97526-5416

Phone

(541) 474-4376

NPI assigned

Mar 23, 2026

Last updated

Mar 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carl Allen Mason

Title

President & Coo

Phone

(503) 826-5190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1316885189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25260 SW PARKWAY AVE STE B",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706627",
            "telephone_number": "503-826-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SW ANIQUE LN",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975265416",
            "telephone_number": "541-474-4376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2144 NW Heidi Ln",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975266323",
            "country_code": "US",
            "telephone_number": "541-955-1816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLCV III OPERATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "503-826-5190"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Pitton, NP-C
• Andrew Pitzak, DO
• Planned Parenthood of Southwestern Oregon
• Planned Parenthood of Southwestern Oregon
• Suzanne Plate
• Jessica Plumb, BS, HUMAN SERVICES
• Kristen Louise Plunkett, N.D.
• Robert Anthony Polk, B.S.
• Rachel R Polster, LMT
• Carol Ponte, M.S.

• Assisted Living Facility (Mental Illness) in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Assisted Living Facility (Mental Illness) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.