MR. LARRY LEE BARDELL MN PMHNP NPI 1023027877

NPI Information

NPI: 1023027877
Provider Name: MR. LARRY LEE BARDELL, MN, PMHNP
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1660 OAK ST SE
SALEM, OR
ZIP 97301
Phone: (503) 316-8817
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MR. Larry Lee Bardell, MN, PMHNP is a psychiatric/mental health registered nurse in Salem, OR. MR. Larry Lee Bardell, MN, PMHNP NPI is 1023027877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1660 OAK ST SE
SALEM, OR
ZIP 97301-942
Phone: (503) 316-8817
Fax: (503) 316-9037

The enumeration date for this NPI number is 8/7/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	077038453N6 PMHNP-PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	077038453N6 PMHNP-PP	OTHER	OREGON	STATE BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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