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Contact Information

CLINTON D BANNING, FNP
500 SW RAMSEY
GRANTS PASS, OR97527
 Phone: 541-472-7069
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CLINTON D BANNING · (Male)

NPI Number 1629307533
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 12/24/2009
Last updated 02/11/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 2001141562RN
  • OR License # 201050003NP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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