# INTEGRATIVE SPINE & BODY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wholeness in Motion
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417270521
- **Authorized official:** ISRAEL A SOSTRIN PT (VICE PRESIDENT)
- **Authorized official phone:** (503) 327-4756

## Contact information

- **Practice address:** 5909 SE DIVISION ST, PORTLAND, OR 97206-1470
- **Practice address phone:** (503) 231-3633
- **Practice address fax:** (503) 234-2367
- **Mailing address:** 5909 SE DIVISION ST, PORTLAND, OR 97206-1470
- **Mailing address phone:** (503) 231-3633
- **Mailing address fax:** (503) 234-2367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | OR | Yes |
| 225100000X | Physical Therapist | — | OR | — |

## Other

- **Enumeration date:** 03/03/2010
- **Last updated:** 09/28/2015