I went back and tried with 3G disabled, no change. Still works.
I did load a slightly different ROM earlier in the day. I am running the
Apache WM6 Kitchen CE OS 5.2.1908 (Build 18508.0.7.0) - UPDATED 20071217.
Previously I had included the VOIP OEM in the kitchen in the ROM. I suspected this was causing me problems so I left it out and manually installed the items listed in my previous post and that is when everything stared to work. I was using a different IP Config utility previous to reading this thread. I loaded Schap's config tool and the combination of the new ROM without VOIP, different VOIP cab and this config tool it what makes it work.
One more thing, the mic on the Apache is on the bottom of the phone so it doesn't matter if you hold it backwards and use the speaker phone as an earpiece. Low volume is not really an issue this way.