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Dr. Ivan Dassenko, MD
General Practice Physician in Salem, Oregon
NPI 1104028364

Ivan Dassenko is a General Practice Physician based in Salem, OR. Ivan Dassenko practices in Salem, OR and has the professional credentials of MD. The NPI Number for Ivan Dassenko is 1104028364 and holds a License No. 6160 (Oregon).

The current practice location address for Ivan Dassenko is 6810 Canyon St Se, Salem, OR and can be reached out via phone at 503-581-7379 and via fax at 503-585-7816. You can also correspond with Ivan Dassenko through the mailing address at 6810 CANYON ST SE, SALEM, OR - 97317-9024 (mailing address contact number: 503-581-7379).

Location: 6810 Canyon St Se, Salem, OR, 97317-9024
person
Provider Profile Details
NPI Number
1104028364
Provider Name
Ivan Dassenko
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6810 Canyon St Se, Salem, OR, 97317-9024
Phone Number
503-581-7379
Fax Number
503-585-7816
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6810 Canyon St Se
City
State
Zip
97317-9024
Phone Number
503-581-7379
Fax Number
503-585-7816
person
Provider Business Mailing Address Details
Address
6810 Canyon St Se
City
State
Zip
97317-9024
Phone Number
503-581-7379
Fax Number
503-585-7816
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
6160 (Oregon)
Definition
Definition to come...
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