DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LARRY LEE BARDELL, MN, PMHNP

Active Sole Proprietor

Child & Adolescent Psychiatric Nurse · SALEM, OR

Registration Details

NPI Number
1023027877
Provider Type
Individual
Gender
Male
NPI Issued
Aug 7, 2006 (19.739763574508 yrs)
Last Updated
Mar 7, 2023
License
077038453N6 PMHNP-PP (OR)
Sole Proprietor
Yes

Practice Information

Address
1660 OAK ST SE
SALEM, OR, 973016942
Browse OR providers · Browse ZIP 97301
Phone
5033168817
Fax
5033169037
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X

Other Child & Adolescent Psychiatric Nurse Providers in SALEM, OR

Name Credential NPI
DONALD PAUL GESNER R.N. 1720141039
GLORIA ANN THETFORD RN 1578626420
ERICA LYNNE TOEWS RN 1043374663
KATHLEEN MAE EDWARDS RN 1457415978
MS. KATHRINE ELISA MURPHY RN 1487718920
MRS. TRISHA KIE OWENS RN 1306900741
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.