Active NPI
Pacific Living Centers Southwest, LLC
- Assisted Living Facility (Mental Illness)
- Medford, OR
National Provider Identifier
1912872953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Legal business name
- PACIFIC LIVING CENTERS SOUTHWEST, LLC
- Practice address
- 3853 Arrowhead Dr
Medford, OR 97504-7209 - Phone
- (541) 282-0467
- NPI assigned
- Oct 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carl Allen Mason
- Title
- President
- Phone
- (503) 826-5190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | Primary |
Addresses
Primary practice location
3853 Arrowhead Dr
Medford, OR 97504-7209
Mailing address
25260 SW Parkway Ave Ste B
Wilsonville, OR 97070-6627
Other practice location 1
427 SE Ramp St
Roseburg, OR 97470-3836
Phone (541) 464-0961
Other practice location 2
44 Homedale Rd
Klamath Falls, OR 97603-4014
Phone (541) 850-3770
Other practice location 3
2146 Brookhurst St
Medford, OR 97504-5480
Phone (541) 618-9050
National Provider Directory
National Provider DirectoryLocations
3853 Arrowhead Dr
Medford, OR 97504
Phone (541) 282-0467
427 SE Ramp St
Roseburg, OR 97470
Phone (541) 464-0961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759881600000",
"number": "1912872953",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3853 ARROWHEAD DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047209",
"telephone_number": "541-282-0467"
}
],
"practiceLocations": [
{
"address_1": "427 SE Ramp St",
"address_purpose": "LOCATION",
"city": "Roseburg",
"state": "OR",
"postal_code": "974703836",
"country_code": "US",
"telephone_number": "541-464-0961",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44 Homedale Rd",
"address_purpose": "LOCATION",
"city": "Klamath Falls",
"state": "OR",
"postal_code": "976034014",
"country_code": "US",
"telephone_number": "541-850-3770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2146 Brookhurst St",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975045480",
"country_code": "US",
"telephone_number": "541-618-9050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PACIFIC LIVING CENTERS SOUTHWEST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-08",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A",
"authorized_official_last_name": "MASON",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-826-5190"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.