Individual provider · Type 1 NPI

Charles Richard O'Bannon, PhD

Psychologist · Gresham, OR

NPI number 1508856642 Active

Practice location

123 E Powell Blvd, Ste. 212
Gresham, OR 97030-7622

Fax (503) 618-8052

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X1044 (OR)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1508856642

Charles Richard O'Bannon, PhD's National Provider Identifier is 1508856642, issued on Oct 27, 2005. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Gresham, OR. The record was last updated on Oct 25, 2010.