DR. CHARLES O'BANNON, PH.D.
Psychologist
Active
Individual
NPI: 1508856642
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | Yes | 1044 (OR) |
Frequently Asked Questions
NPI 1508856642 is the National Provider Identifier for DR. CHARLES O'BANNON, PH.D., a Psychologist provider located in Gresham, OR. This NPI was enumerated on October 27, 2005.
DR. CHARLES O'BANNON, PH.D. practices at 123 E POWELL BLVD, STE. 212, Gresham, OR 97030.
Quick Facts
- NPI
- 1508856642
- Type
- Individual
- Enumerated
- Oct 27, 2005
- Last Updated
- Oct 25, 2010
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