Organization
PLCV III OPERATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL ALLEN MASON (PRESIDENT & COO)
(503) 826-5190
Entity
Organization
Contact information
Practice address
525 SW ANIQUE LN, GRANTS PASS, OR 97526-5416
(541) 474-4376
Mailing address
25260 SW PARKWAY AVE STE B, WILSONVILLE, OR 97070-6627
(503) 826-5190
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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