Individual
HARLEY FLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 TRENT DR, DURHAM, NC 27710-3038
(919) 684-4248
Mailing address
677 S LOWELL ST APT 565, PORTLAND, OR 97239-4818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10031534
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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