Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ivan Dassenko, MD

Individual provider General Practice Physician · NPI 1104028364

Dr. Ivan Dassenko, MD is a General Practice Physician in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6810 Canyon St SE
Salem, OR 97317-9024
Phone: (503) 581-7379
Fax: (503) 585-7816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 6160 (OR)

Record details

NPI number1104028364
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2007
Last updated in NPPESJuly 8, 2007
Mailing address6810 Canyon St Se, Salem, OR 97317-9024

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