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Contact Information

LARRY L BARDELL, MN, PMHNP
1660 OAK ST SE
SALEM, OR97301-6942
 Phone: 503-316-8817
 Fax: 503-316-9037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for LARRY L BARDELL · (Male)

NPI # 1023027877
Status Active
Credentials MN, PMHNP
Entity Individual
Enumeration date 08/07/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 077038453N6 PMHNP-PP
  • OR Other 077038453N6 PMHNP-PP STATE BOARD OF NURSING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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