Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinton Dale Banning, FNP

Individual provider Registered Nurse · NPI 1629307533

Clinton Dale Banning, FNP is a Nurse Practitioner in Grants Pass, Oregon. Qualified in 2009, 17 years ago. Practices with Asante Three Rivers Medical Center LLC, a 97-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
17
Licensed in
OR
In the registry since
2009
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

500 SW Ramsey
Grants Pass, OR 97527
Phone: (541) 472-7069
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201050003NP (OR)
Registered Nurse Taxonomy 163W00000X · Licence 2001141562RN (OR)

Record details

NPI number1629307533
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 24, 2009
Last updated in NPPESFebruary 11, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Asante Three Rivers Medical Center Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grants Pass