Bardell, Larry Lee

Bardell, Larry Lee is an sole proprietor health care provider with primary practice located at 1660 Oak St Se , Salem OR 97301-6942. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bardell, Larry Lee can be contacted via phone (503) 316-8817.

Contact Information

Primary practice address
1660 Oak St Se Salem OR 97301-6942
Phone: (503) 316-8817
Fax: (503) 316-9037
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 077038453N6 PMHNP-PP Oregon

Profile Details

NPI number 1023027877
LBN Legal business name Bardell, Larry Lee
Credentials MN, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023027877 NPPES
Oregon Other 077038453N6 PMHNP-PP STATE BOARD OF NURSING

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