Individual
DR. SUNNY L DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-8867
Mailing address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9324
OR
1223G0001X
General Practice Dentistry
D9324
OR
1223P0300X
Periodontics
Primary
D9324
OR
Other
Enumeration date
07/29/2009
Last updated
12/16/2025
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