# MEDICINAL INNOVATIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376242966
- **Authorized official:** LESLIE ANN DRAPIZA MD (OWNER)
- **Authorized official phone:** (503) 908-6050

## Contact information

- **Practice address:** 388 STATE ST STE 1100, SALEM, OR 97301-3538
- **Practice address phone:** (503) 908-6050
- **Mailing address:** 388 STATE ST STE 1100, SALEM, OR 97301-3538
- **Mailing address phone:** (503) 908-6050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/02/2023
- **Last updated:** 11/01/2023