DR. IVAN DASSENKO, MD
General Practice
Active
Individual
NPI: 1104028364
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | Yes | 6160 (OR) |
Frequently Asked Questions
NPI 1104028364 is the National Provider Identifier for DR. IVAN DASSENKO, MD, a General Practice provider located in Salem, OR. This NPI was enumerated on June 1, 2007.
DR. IVAN DASSENKO, MD practices at 6810 CANYON ST SE, Salem, OR 97317.
Quick Facts
- NPI
- 1104028364
- Type
- Individual
- Enumerated
- Jun 1, 2007
- Last Updated
- Jul 8, 2007
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