Sandra Rustam, MA, LPCI - Counselor in Beaverton, OR

Sandra Rustam, MA, LPCI is a Counselor - Professional based in Beaverton, Oregon. Sandra Rustam is licensed to practice in * (Not Available) (license number ) and her current practice location is 3601 Sw Murray Blvd, Suite 300, Beaverton, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 730-1790.

NPI number for Sandra Rustam is 1285820704 and her current mailing address is 14745 Sw Sandhill Loop, Suite 204, Beaverton, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285820704.

Contact Information

Sandra Rustam, MA, LPCI
3601 Sw Murray Blvd, Suite 300,
Beaverton, OR 97005-2354
(503) 730-1790
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameSandra Rustam
GenderFemale
SpecialityCounselor - Professional
Location3601 Sw Murray Blvd, Beaverton, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285820704
  • Provider Enumeration Date: 09/18/2007
  • Last Update Date: 11/25/2016

Medical Identifiers

Medical identifiers for Sandra Rustam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285820704NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YP2500XCounselor - Professional (* (Not Available))Primary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
302R00000XHealth Maintenance Organization (* (Not Available))Secondary
320800000XCommunity Based Residential Treatment Facility, Mental Illness (* (Not Available))Secondary
101Y00000XCounselor (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Rustam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sandra Rustam, MA, LPCI
14745 Sw Sandhill Loop, Suite 204,
Beaverton, OR 97007-9079

Ph: (503) 730-1790
Sandra Rustam, MA, LPCI
3601 Sw Murray Blvd, Suite 300,
Beaverton, OR 97005-2354

Ph: (503) 730-1790

Reviews and Comments


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