Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003256827 Individual Practitioner Female Practitioner

Dr. Octavia S Lively , DDS

Dentist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Octavia Lively, DDS is a registered healthcare professional specializing in Dentist in Portland, OR. Practice services are available at 3710 SW US VETRN HOSP RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3710 Sw Us Vetrn Hosp Rd

Portland, OR 972392964

Telephone 5032208262
Associated Practice Facility / Clinic
🏢 Portland Va Medical Center Facility NPI 1588765523

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
283 Specialists

Practicing in Portland, OR (1289 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D10027

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Yvette Arey , MSW

Social Worker - Clinical

NPI 1003095100

Master of Social Work

NPI 1003104100

Doctor of Philosophy (Ph.D.)

Rachel Krokus , LCSW

Social Worker - Clinical

NPI 1003273749

Licensed Clinical Social Worker

Michelle Keller

Social Worker - Clinical

NPI 1003323809
Dr. Taylor Roemelt , DDS

Dentist - General Practice

NPI 1003468265

Doctor of Dental Surgery

NPI 1003827965

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated February 12, 2019

Recorded as OCTAVIA LIVELY, DDS

NPI Profile Active November 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2014

Registered at 3710 SW US VETRN HOSP RD, PORTLAND, OR 972392964 (Tel: 5032208262)

📍
Updated Business Mailing Address November 02, 2014

Registered at 3710 SW US VETRN HOSP RD, PORTLAND, OR 972392964 (Tel: 5032208262)

👤
Provider Name / Credentials Updated November 02, 2014

Recorded as OCTAVIA SWANSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2014

Dentist (License #D10027 in OR)

🟢
Initial NPI Registration & Enumeration June 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003256827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2013
Last Update: February 12, 2019
Sole Proprietor: No

Mailing Address

3710 Sw Us Vetrn Hosp Rd

Portland, OR 972392964

Phone: 5032208262

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.