DR. IVAN DASSENKO (MD) – General Practice Physician, NPI 1104028364

DR. IVAN DASSENKO (MD) is a healthcare provider. based in Salem, Oregon. specializing in General Practice Physician. They hold the professional credentials MD. They hold a License No. 6160 (OR). The NPI Number for DR. IVAN DASSENKO (MD) is 1104028364

Main info

Male
Name
DR. IVAN DASSENKO (MD)
NPI
1104028364
Phone
(503) 581-7379
Address
6810 CANYON ST SE
Enumeration Date
1 June 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. IVAN DASSENKO (MD)

  • 6810 CANYON ST SE

    SALEM, OR 973179024

    Phone: (503) 581-7379

    Fax: (503) 585-7816

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97317)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. IVAN DASSENKO (MD)'s NPI?
Yes. DR. IVAN DASSENKO (MD) is listed with NPI 1104028364 in the public NPI dataset.
Is DR. IVAN DASSENKO (MD) listed as active for patients and plans?
The listing shows DR. IVAN DASSENKO (MD) as active in the NPI system.
What is DR. IVAN DASSENKO (MD) best known for clinically?
Directory data describes DR. IVAN DASSENKO (MD) with General Practice Physician. Clinical services aligned with this taxonomy classification.
What area does DR. IVAN DASSENKO (MD) serve?
DR. IVAN DASSENKO (MD)'s listing highlights Salem, Oregon; more addresses can appear in NPPES.
Is the information about DR. IVAN DASSENKO (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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