Healthcare Provider Details

I. General information

NPI: 1801933932
Provider Name (Legal Business Name): CDM SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 NE ANDRESEN RD
VANCOUVER WA
98661-7310
US

IV. Provider business mailing address

2300 NE ANDRESEN RD
VANCOUVER WA
98661-7310
US

V. Phone/Fax

Practice location:
  • Phone: 360-896-9695
  • Fax: 360-213-1816
Mailing address:
  • Phone: 360-896-9695
  • Fax: 360-213-1816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberIS-248 (HOME CARE)
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ERIC ERICKSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 360-896-9695