O'Bannon, Charles Richard
O'Bannon, Charles Richard is an sole proprietor health care provider with primary practice located at 123 E Powell Blvd Ste. 212, Gresham OR 97030-7622. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. O'Bannon, Charles Richard can be contacted via phone (503) 618-8041.Contact Information
Primary practice address
123 E Powell Blvd Ste. 212
Gresham OR 97030-7622
Phone: (503) 618-8041
Fax: (503) 618-8052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1044 | Oregon |
Profile Details
| NPI number | 1508856642 |
|---|---|
| LBN Legal business name | O'Bannon, Charles Richard |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Oct 25th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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