Organization
COMMUNITY IN MOTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL KETTWIG (HR / ADMINISTRATIVE COORDINATOR)
(360) 735-5715
Entity
Organization
Contact information
Practice address
312 SE STONEMILL DR STE 115, VANCOUVER, WA 98684-3547
(360) 694-6577
(360) 694-1446
Mailing address
312 SE STONEMILL DR STE 115, VANCOUVER, WA 98684-3547
(360) 694-6577
(360) 694-1446
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
600647162
WA
Other
Enumeration date
07/12/2005
Last updated
09/28/2022
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