Octavia Lively, DDS
NPI 1003256827 · on the registry since 2013
Practice
- Address
- 3710 Sw Us Vetrn Hosp Rd
Portland, OR 97239 - Phone
- (503) 220-8262
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon