CHARLES RICHARD O'BANNON

GRESHAM, OR
NPI1508856642
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: OR  1044)
Enumeration Date2005-10-27
Last Update Date2010-10-25
Business Address
Dr. CHARLES RICHARD O'BANNON Ph.D.
123 E POWELL BLVD STE. 212
GRESHAM, OR 97030-7622
Phone number: 503-618-8041
Mailing Address
Dr. CHARLES RICHARD O'BANNON Ph.D.
123 E POWELL BLVD STE. 212
GRESHAM, OR 97030-7622
Phone number: 503-618-8041
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