Ivan Dassenko is a General Practice in Salem, Oregon. Ivan Dassenko practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ivan Dassenko is 1104028364. The last update date is 2007-07-08.
Ivan Dassenko's current location address is 6810 Canyon St Se, Salem, Oregon. You can contact this provider via phone number 5035817379 and fax number 5035857816. The mailing address for Ivan Dassenko is 6810 Canyon St Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan Dassenko |
|---|---|
| Address | 6810 Canyon St Se, Salem, Oregon |
| Phone Number | 5035817379 |
| Fax Number | 5035857816 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104028364 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6810 Canyon St Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973179024 |
| Phone Number | 5035817379 |
| Fax Number | 5035857816 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 6160 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Post Comment/ Review Below
What is the unique identification code assigned to Ivan Dassenko by the Centers for Medicare & Medicaid Services?
The Ivan Dassenko has been issued the NPI (National Provider Identifier) 1104028364. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ivan Dassenko is geographically located?
The Ivan Dassenko is physically situated at the following location: 6810 Canyon St Se, Salem, OR, 973179024.
What is the Ivan Dassenko's area of specialization and corresponding taxonomy classification?
The Ivan Dassenko's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1104028364 to Ivan Dassenko?
The Ivan Dassenko received its 1104028364 assignment from the Centers for Medicare & Medicaid Services on 2007-06-01.
As of what date were the details pertaining to Ivan Dassenko last refreshed?
The information related to the Ivan Dassenko, including its address, specialty, and other relevant details, was last updated on 2007-07-08.