Dr Ivan Dassenko, MD - General Practice in Salem, OR

Dr Ivan Dassenko, MD is a General Practice physician based in Salem, Oregon. Dr Ivan Dassenko is licensed to practice in Oregon (license number 6160) and his current practice location is 6810 Canyon St Se, Salem, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 581-7379.

NPI number for Dr Ivan Dassenko is 1104028364 and his current mailing address is 6810 Canyon St Se, Salem, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104028364.

Contact Information

Dr Ivan Dassenko, MD
6810 Canyon St Se,
Salem, OR 97317-9024
(503) 581-7379
(503) 585-7816

Map and Direction




Physician's Profile

Full NameDr Ivan Dassenko
GenderMale
SpecialityGeneral Practice
Location6810 Canyon St Se, Salem, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104028364
  • Provider Enumeration Date: 06/01/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Ivan Dassenko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104028364NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 6160 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ivan Dassenko is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ivan Dassenko, MD
6810 Canyon St Se,
Salem, OR 97317-9024

Ph: (503) 581-7379
Dr Ivan Dassenko, MD
6810 Canyon St Se,
Salem, OR 97317-9024

Ph: (503) 581-7379

Reviews and Comments


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