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Organization

SPECIAL MOBILITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRED STOFFER (GENERAL MANAGER)
(503) 232-1440
Entity
Organization

Contact information

Practice address
3102 E TRENT AVE, SPOKANE, WA 99202-3800
(509) 532-9505
Mailing address
2101 NE FLANDERS ST, PORTLAND, OR 97232-2811
(503) 232-1440

Taxonomy

Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9052325
WA
Enumeration date
05/21/2007
Last updated
08/22/2020
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