KATY O'BANNON

PORTLAND, OR
NPI1649903592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: OR  525671)
Enumeration Date2022-07-07
Last Update Date2022-07-07
Business Address
KATY O'BANNON
911 SW 21ST AVE APT 303
PORTLAND, OR 97205-1567
Phone number: 936-581-2841
Mailing Address
KATY O'BANNON
911 SW 21ST AVE APT 303
PORTLAND, OR 97205-1567
Phone number: 936-581-2841