SearchOregonGeneral Practice Physician

Ivan Dassenko, MD

NPI 1104028364 · on the registry since 2007

Practice

Address
6810 Canyon St Se
Salem, OR 97317
Phone
(503) 581-7379
Fax
(503) 585-7816

Registry record

Primary taxonomy
General Practice Physician
208D00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon