What is Ivan Dassenko's NPI number?

Ivan Dassenko's National Provider Identifier (NPI) is 1104028364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ivan Dassenko's specialty?

Ivan Dassenko is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).

Where is Ivan Dassenko located?

Ivan Dassenko's practice location on file with NPPES is 6810 Canyon St Se, Salem, OR 97317-9024.

What is Ivan Dassenko's phone number?

The practice phone number listed in the NPPES registry for Ivan Dassenko is (503) 581-7379.

Is Ivan Dassenko's NPI active?

Yes — Ivan Dassenko's NPI (1104028364) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Ivan Dassenko, MD

NPI 1104028364 · General Practice Physician · Salem, OR

Ivan Dassenko, MD is a General Practice Physician provider in Salem, OR (NPI 1104028364).

Provider details

NPI number: 1104028364
Entity type: Individual
Primary specialty: General Practice PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 6160 (OR)

Specialties & taxonomies

General Practice PhysicianPrimary208D00000XLicense 6160 (OR)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

6810 Canyon St Se

Salem, OR 97317-9024

Phone: (503) 581-7379

Fax: (503) 585-7816

Street-level locationGet directions

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Mailing address