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OCTAVIA M NIGHTINGALE
NPI 1225639826
Skilled Nursing Facility - Nursing Care, Pediatric in Lake Oswego, OR

Active since November 02, 2020
4190 COLLINS WAY, LAKE OSWEGO, OR 97035(503) 636-0966(503) 675-3552 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Octavia M Nightingale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCTAVIA M NIGHTINGALE (NPI 1225639826) is an individual nursing care, pediatric provider in Lake Oswego, Oregon, licensed in Oregon (513068) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1225639826
Entity TypeIndividualFemale
Primary Taxonomy3140N1450X
Provider Legal NameOCTAVIA M NIGHTINGALE
Location Address4190 COLLINS WAYLake Oswego, OR 97035-3448
Mailing Address4190 Collins WayLake Oswego, OR 97035-3448 · (503) 636-0966 · Fax (503) 675-3552
Phone(503) 636-0966
Fax(503) 675-3552
Sole ProprietorYes
Enumeration DateNovember 2, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1225639826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
License✔ Licensed in OR · 513068
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
4190 COLLINS WAY, Lake Oswego, OR 97035
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Other Identifiers 1

Medicaid513068OR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Octavia Nightingale's NPI number?

The NPI number for Octavia Nightingale is 1225639826. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is Octavia Nightingale located?

Octavia Nightingale practices at 4190 Collins Way, Lake Oswego, OR 97035. The listed phone number is (503) 636-0966.

What is Octavia Nightingale's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Octavia Nightingale was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.