IndividualActive
Katy O'Bannon
NPI 1649903592 · School Psychologist · Portland, OR
Provider details
- NPI number
- 1649903592
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 525671 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
911 Sw 21st Ave Apt 303
Portland, OR 97205-1567
Phone: (936) 581-2841
Approximate (ZIP-level) locationGet directions
Mailing address
911 Sw 21st Ave Apt 303
Portland, OR 97205-1567
Registry dates
- Enumerated
- 2022-07-07
- Last updated
- 2022-07-07
- Certified
- 2022-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.