Dassenko, Ivan
Dassenko, Ivan is an individual health care provider with primary practice located at 6810 Canyon St Se , Salem OR 97317-9024. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Dassenko, Ivan can be contacted via phone (503) 581-7379.Contact Information
Primary practice address
6810 Canyon St Se
Salem OR 97317-9024
Phone: (503) 581-7379
Fax: (503) 585-7816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 6160 | Oregon |
Profile Details
| NPI number | 1104028364 |
|---|---|
| LBN Legal business name | Dassenko, Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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