Individual
MR. JONATHAN P BANET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9139 RIDGELINE BLVD, HIGHLANDS RANCH, CO 80129-2333
(303) 471-7700
Mailing address
1027 E. BURNSIDE ST., PORTLAND, OR 97214
(503) 239-8400
(503) 269-8407
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
201407085RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.1638316
CO
Other
Enumeration date
02/23/2015
Last updated
03/30/2018
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