Mr. LARRY LEE BARDELL -- MN, PMHNP
Individual Provider (NPI-1)
Active
Registered Nurse, Psych/Mental Health
Provider Information
- NPI Number
1023027877- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MN, PMHNP
- Status
- Active
Contact & Location
- Address
- 1660 OAK ST SE, SALEM, OR, 973016942
- Phone
- (503) 316-8817
- Fax
- (503) 316-9037
Specialties & Taxonomies
Registered Nurse, Psych/Mental Health
Primary License: OR #077038453N6 PMHNP-PP