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

Octavia M Nightingale

Individual provider Pediatric Skilled Nursing Facility · NPI 1225639826

Octavia M Nightingale is a Pediatric Skilled Nursing Facility in Lake Oswego, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2020
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Practice location Address checks out

4190 Collins Way
Lake Oswego, OR 97035-3448
Phone: (503) 636-0966
Fax: (503) 675-3552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Skilled Nursing Facility (primary) Taxonomy 3140N1450X · Licence 513068 (OR)

Record details

NPI number1225639826
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 2, 2020
Last updated in NPPESNovember 2, 2020
Certification dateOctober 28, 2020