Charles O'Bannon, PH.D

NPI 1508856642 · on the registry since 2005 · sole proprietor

Practice

Address: 123 E Powell Blvd
Ste. 212
Gresham, OR 97030
Phone: (503) 618-8041
Fax: (503) 618-8052
Organisation at this address: Angela M. Caiazza, Pc
Vistas Counseling, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 103T00000X
103T00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon