Individual
RACHEL ROSE SOURS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
10395 NW GLENCOE RD STE 500, NORTH PLAINS, OR 97133-8223
(503) 647-2095
(503) 647-2096
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(800) 328-8602
(952) 285-3980
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
Primary
HAS-P10193792
OR
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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