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Mr. Larry Lee Bardell, MN,PMHNP
Psychiatric/Mental Health Registered Nurse in Salem, Oregon
NPI 1023027877

Larry Lee Bardell is a Psychiatric/Mental Health Registered Nurse based in Albany, OR and is specialized in Psychiatric/Mental Health. Larry Lee Bardell practices in Salem, OR and has the professional credentials of MN,PMHNP. The NPI Number for Larry Lee Bardell is 1023027877 and holds a License No. 077038453N6 PMHNP-PP (Oregon).

The current practice location address for Larry Lee Bardell is 1660 Oak St Se, Salem, OR and can be reached out via phone at 503-316-8817 and via fax at 503-316-9037.

Location: 1660 Oak St Se, Salem, OR, 97321-1587
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Provider Profile Details
NPI Number
1023027877
Provider Name
Larry Lee Bardell
Credential
MN,PMHNP
Provider Entity Type
Individual
Gender
Male
Address
1660 Oak St Se, Salem, OR, 97321-1587
Phone Number
503-316-8817
Fax Number
503-316-9037
Provider Enumeration Date
08/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
077038453N6 PMHNP-PP 01 OR STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
1660 Oak St Se
City
State
Zip
97301-6942
Phone Number
503-316-8817
Fax Number
503-316-9037
person
Provider Business Mailing Address Details
Address
1660 Oak St Se
City
State
Zip
97301-6942
Phone Number
503-316-8817
Fax Number
503-316-9037
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
077038453N6 PMHNP-PP (Oregon)
Definition
Definition to come...
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