Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles Richard O'Bannon, PHD

Individual provider Psychologist · NPI 1508856642

Dr. Charles Richard O'Bannon, PHD is a Psychologist in Gresham, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

123 E Powell Blvd Ste 212
Gresham, OR 97030-7622
Phone: (503) 618-8041
Fax: (503) 618-8052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1044 (OR)

Record details

NPI number1508856642
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 27, 2005
Last updated in NPPESOctober 25, 2010

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