Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES RICHARD O'BANNON, PH.D.
Active Sole ProprietorDR. CHARLES RICHARD O'BANNON, PH.D. is a Psychologist healthcare provider located in GRESHAM, Oregon. NPI 1508856642 is currently active in the NPPES registry. Verify at CMS.
Psychologist · GRESHAM, OR
Registration Details
- NPI Number
- 1508856642
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2005 (20.768020892505 yrs)
- Last Updated
- Oct 25, 2010
- License
-
1044 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
123 E POWELL BLVDSTE. 212GRESHAM, OR, 970307622Browse OR providers · Browse ZIP 97030
- Phone
- 5036188041
- Fax
- 5036188052
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| JOHN D ADLER | PHD | 1588645055 |
| BETH DIANE FRENCH | PSY.D. | 1194814665 |
| DR. CAROL J LANDESMAN | PH.D. | 1770630485 |
| DR. ELIZABETH KIRKHART | PH.D. | 1598880411 |
| DR. GREGORY G. MORSE | PSY.D. | 1598882821 |
| MR. DOUG R ALTILIO | PSYD | 1518107226 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.