Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104028364 Individual Practitioner Male Practitioner

Dr. Ivan Dassenko , MD

General Practice • Salem, OR

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Dassenko, MD is a registered healthcare professional specializing in General Practice in Salem, OR. Practice services are available at 6810 CANYON ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6810 Canyon St Se

Salem, OR 973179024

Telephone 5035817379
Fax 5035857816

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Salem, OR (106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OR 6160

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6810 CANYON ST SE, SALEM, OR 973179024 (Tel: 5035817379)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6810 CANYON ST SE, SALEM, OR 973179024 (Tel: 5035817379)

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Provider Name / Credentials Updated July 08, 2007

Recorded as IVAN DASSENKO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #6160 in OR)

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Initial NPI Registration & Enumeration June 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104028364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

6810 Canyon St Se

Salem, OR 973179024

Phone: 5035817379

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.