Larry Lee Bardell, MN, PMHNP
Registered Nurse, Psych/Mental Health in Salem, OR. Individual provider (NPI-1).
NPI number1023027877
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1023027877
- Entity type
- Individual (NPI-1)
- Name
- Mr. Larry Lee Bardell
- Credential
- MN, PMHNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2006
- Last updated
- Mar 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 077038453N6 PMHNP-PP | OR | Yes |
Practice location
1660 Oak St SeSalem, OR 97301-6942
Phone 503-316-8817 · Fax 503-316-9037
Mailing address
1708 Nw Springhill DrAlbany, OR 97321-1587
Phone 541-928-0747
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Registered Nurse providers in Salem, OR
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All 18 Psychiatric/Mental Health Registered Nurse providers in Salem · All 8,143 providers in Salem
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