Organization Active NPI

Pacific Living Centers Southwest, LLC

  • Assisted Living Facility (Mental Illness)
  • Medford, OR
National Provider Identifier
1912872953
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
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

Updated by the provider on Oct 8, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.