Active NPIIndividual providerSole proprietor

Mr. Larry L Bardell, MN, PMHNP

Registered Nurse, Psych/Mental Health in Salem, Oregon

NPI Number1023027877
Practice location
1660 Oak St SE, Salem, OR 97301-6942
Fax
503-316-9037
Last updated
March 7, 2023

Mr. Larry L Bardell, MN, PMHNP is a Registered Nurse, Psych/Mental Health based in Salem, OR. Mr. Larry L Bardell, MN, PMHNP holds the professional credentials of MN, PMHNP. The NPI number for Mr. Larry L Bardell, MN, PMHNP is 1023027877 and holds license No. 077038453N6 PMHNP-PP (OR). The current practice location address is 1660 Oak St SE, Salem, OR 97301-6942 and the office can be reached by phone at 503-316-8817 and by fax at 503-316-9037. The NPI was assigned on August 7, 2006 and the record was last updated in NPPES on March 7, 2023.

●Provider Profile Details

NPI Number
1023027877
Provider Name
Larry Lee Bardell
Credential
MN, PMHNP
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Registered Nurse, Psych/Mental Health · 163WP0808X
Sole Proprietor
Yes
Enumeration Date
August 7, 2006
Last Update Date
March 7, 2023
NPI Status
Active

◉Business Practice Location Address

Address
1660 Oak St SE
Salem, OR 97301-6942
City
Salem
State
Oregon
ZIP
97301-6942
Country
US
Phone Number
503-316-8817
Fax Number
503-316-9037

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✉Business Mailing Address

Address
1708 NW Springhill Dr
Albany, OR 97321-1587
City
Albany
State
OR
ZIP
97321-1587
Phone Number
541-928-0747

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Registered Nurse, Psych/Mental Health163WP0808XYes077038453N6 PMHNP-PPOR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Mr. Larry L Bardell, MN, PMHNP?

The NPI number of Mr. Larry L Bardell, MN, PMHNP is 1023027877. It was assigned on August 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Larry L Bardell, MN, PMHNP?

Mr. Larry L Bardell, MN, PMHNP is registered under the primary taxonomy Registered Nurse, Psych/Mental Health (code 163WP0808X) and holds license No. 077038453N6 PMHNP-PP (OR).

Where does Mr. Larry L Bardell, MN, PMHNP practice?

The practice location is 1660 Oak St SE, Salem, OR 97301-6942. The office can be reached at 503-316-8817 (phone) or 503-316-9037 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023027877 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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