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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.