DR. CHARLES RICHARD O'BANNON PH.D.
NPI 1508856642
Psychologist in Gresham, OR

Active since October 27, 2005
123 E POWELL BLVD, STE. 212, GRESHAM, OR 97030(503) 618-8041(503) 618-8052 Get Directions Write a Review

NPPES record last updated: October 25, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Charles Richard O'bannon Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES RICHARD O'BANNON PH.D. (NPI 1508856642) is an individual psychologist in Gresham, Oregon, licensed in Oregon (1044) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1508856642
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CHARLES RICHARD O'BANNONCredential: PH.D.
Location Address123 E POWELL BLVD, STE. 212Gresham, OR 97030-7622
Mailing Address123 E Powell Blvd, Ste. 212Gresham, OR 97030-7622 · (503) 618-8041 · Fax (503) 618-8052
Fax(503) 618-8052
Sole ProprietorYes
Enumeration DateOctober 27, 2005
Last NPPES UpdateOctober 25, 2010
NPI 1508856642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 1044
Definition

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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

123 E POWELL BLVD, Gresham, OR 97030

Other Identifiers 2

Medicare ID-Type Unspecified114401OR
Medicare PINR143267OR

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
123 E POWELL BLVD, SUITE # 303
GRESHAM, OR 97030
Social Worker
123 E POWELL BLVD, STE. 212
GRESHAM, OR 97030
Massage Therapist
123 E POWELL BLVD, # 304
GRESHAM, OR 97030
Marriage & Family Therapist
123 E POWELL BLVD, SUITE #303
GRESHAM, OR 97030
Psychologist (Cognitive & Behavioral)
123 E POWELL BLVD, 305
GRESHAM, OR 97030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles O'bannon's NPI number?

The NPI number for Charles O'bannon is 1508856642. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Charles O'bannon located?

Charles O'bannon practices at 123 E Powell Blvd Ste. 212, Gresham, OR 97030. The listed phone number is (503) 618-8041.

What is Charles O'bannon's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Charles O'bannon was last updated on October 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.