IVAN DASSENKO

SALEM, OR
NPI1104028364
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: OR  6160)
Enumeration Date2007-06-01
Last Update Date2007-07-08
Business Address
Dr. IVAN DASSENKO MD
6810 CANYON ST SE
SALEM, OR 97317-9024
Phone number: 503-581-7379
Mailing Address
Dr. IVAN DASSENKO MD
6810 CANYON ST SE
SALEM, OR 97317-9024
Phone number: 503-581-7379