OCTAVIA S LIVELY

PORTLAND, OR
NPI1003256827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D10027)
Enumeration Date2013-06-25
Last Update Date2019-02-12
Business Address
Dr. OCTAVIA S LIVELY DDS
3710 SW US VETRN HOSP RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Mailing Address
Dr. OCTAVIA S LIVELY DDS
3710 SW US VETRN HOSP RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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