Octavia Lively, DDS
NPI 1003256827 · Dentist · Portland, OR
Octavia Lively, DDS is a Dentist provider in Portland, OR (NPI 1003256827).
Provider details
- NPI number
- 1003256827
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D10027 (OR)
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-25
- Last updated
- 2019-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.