Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Blake R Harris, PA

Individual provider Physician Assistant · NPI 1790861151

Mr. Blake R Harris, PA is a Physician Assistant in Weaverville, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

410 N Taylor St
Weaverville, CA 96093
Phone: (530) 623-4186
Fax: (530) 623-4397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11470 (CA)

Record details

NPI number1790861151
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 28, 2006
Last updated in NPPESJuly 8, 2007

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