Charles R Obannon
NPI 1720496730 · Psychologist · Troutdale, OR
Charles R Obannon is a Psychologist organization in Troutdale, OR (NPI 1720496730).
Provider details
- NPI number
- 1720496730
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Charles O'Bannon, Licensed Psychologist / Owner(503) 618-8041
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Renaissance Counseling LLC
Registry dates
- Enumerated
- 2014-07-23
- Last updated
- 2015-09-25
Frequently asked questions
- What is Charles R Obannon's NPI number?
- Charles R Obannon's National Provider Identifier (NPI) is 1720496730, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles R Obannon?
- Charles R Obannon is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Charles R Obannon located?
- Charles R Obannon's practice location on file with NPPES is 31090 Se Division Dr, Troutdale, OR 97060-9451.
- What is Charles R Obannon's phone number?
- The practice phone number listed in the NPPES registry for Charles R Obannon is (503) 618-8041.
- Who is the authorized official for Charles R Obannon?
- The authorized official listed on Charles R Obannon's NPPES record is Charles O'Bannon, Licensed Psychologist / Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles R Obannon's NPI active?
- Yes — Charles R Obannon's NPI (1720496730) is active in the NPPES registry as of the last update on 2015-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.