Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Octavia S Lively, DDS

Individual provider Dentist · NPI 1003256827

Dr. Octavia S Lively, DDS is a Dentist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2013.

Licensed in
OR
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3710 SW US Vetrn Hosp Rd
Portland, OR 97239-2964
Phone: (503) 220-8262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D10027 (OR)

Record details

NPI number1003256827
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESFebruary 12, 2019
Mailing address3710 Sw Us Vetrn Hosp Rd, Portland, OR 97239-2964

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