Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IVAN DASSENKO, MD
ActiveDR. IVAN DASSENKO, MD is a General Practice healthcare provider located in SALEM, Oregon. NPI 1104028364 is currently active in the NPPES registry. Verify at CMS.
General Practice · SALEM, OR
Registration Details
- NPI Number
- 1104028364
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2007 (19.022293700942 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6160 (OR)
Practice Information
- Address
-
6810 CANYON ST SESALEM, OR, 973179024Browse OR providers · Browse ZIP 97317
- Phone
- 5035817379
- Fax
- 5035857816
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in SALEM, OR
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT SLOAN | M.D. | 1427062223 |
| TERENCE H YOUNG | M.D. | 1073668935 |
| DR. JOHN MARK POZAR | MD | 1235392242 |
| JOHN M VARGO | D O | 1427207265 |
| STEPHANIE NICOLE REEDY | LMT | 1821342429 |
| CAMERON SAFFER | M.D. | 1174940050 |
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.