Dr. Octavia S Lively is a Portland, Oregon based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Octavia S Lively is
D10027 for Dentistry in Oregon. Her current practice location is
3710 Sw Us Vetrn Hosp Rd, Portland. Patients can reach her at
503-220-8262.
Dr. Octavia S Lively is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Octavia S Lively speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Octavia S Lively |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3710 Sw Us Vetrn Hosp Rd, Portland, Oregon, 97239-2964 |
| Phone: | 503-220-8262 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1003256827 |
| NPI Enumeration Date: | 25 Jun, 2013 |
| NPI Last Update On: | 12 Feb, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Octavia S Lively are as mentioned below.
| License Number | Specialization | State | Status | |
| D10027 | Dentistry | Oregon | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3710 Sw Us Vetrn Hosp Rd, Portland, Oregon |
| Zip: | 97239-2964 |
| Phone Number: | 503-220-8262 |
Patients can reach Dr. Octavia S Lively at
3710 Sw Us Vetrn Hosp Rd, Portland, Oregon or can
call to book an appointment on 503-220-8262.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.