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SANDRA RUSTAM M.A., LPCI
NPI 1285820704
Counselor - Professional in Beaverton, OR

Active since September 18, 2007
3601 SW MURRAY BLVD, SUITE 300, BEAVERTON, OR 97005(503) 730-1790 Get Directions Write a Review

NPPES record last updated: November 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2016, Nov 17, 2016 (2 updates tracked since 2016).

About Sandra Rustam M.a., Lpci NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA RUSTAM M.A., LPCI (NPI 1285820704) is an individual professional provider in Beaverton, Oregon and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1285820704
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSANDRA RUSTAMCredential: M.A., LPCI
Location Address3601 SW MURRAY BLVD, SUITE 300Beaverton, OR 97005-2354
Mailing Address14745 Sw Sandhill Loop, Suite 204Beaverton, OR 97007-9079 · (503) 730-1790
Phone(503) 730-1790
Sole ProprietorYes
Enumeration DateSeptember 18, 2007
Last NPPES UpdateNovember 25, 20162 updates tracked since enumeration
✔ NPI 1285820704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
3601 SW MURRAY BLVD, Beaverton, OR 97005
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YIN MAK PHARM.D.
Pharmacist
3601 SW MURRAY BLVD
BEAVERTON, OR 97005
Washington County (503) 574-6839
CYNTHIA SEGER RN BSN
Registered Nurse
3601 SW MURRAY BLVD
BEAVERTON, OR 97005
Washington County (503) 574-6495
DR. CHRISTINE E MAYO POWERS PHARM D
Pharmacist (Pharmacotherapy)
3601 SW MURRAY BLVD
BEAVERTON, OR 97005
Washington County (800) 878-4445
DR. JATIN YOGESH GANDHI PHARM D
Pharmacist
3601 SW MURRAY BLVD
BEAVERTON, OR 97005
Washington County (035) 747-4005
PROVIDENCE WEST HOME HEALTH
Home Health
3601 SW MURRAY BLVD, STE. 40
BEAVERTON, OR 97005
Washington County (503) 216-2001
W/YOU
Specialist
3601 SW MURRAY BLVD
BEAVERTON, OR 97005
Washington County (503) 858-2338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Rustam's NPI number?

The NPI number for Sandra Rustam is 1285820704. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Where is Sandra Rustam located?

Sandra Rustam practices at 3601 SW Murray Blvd Suite 300, Beaverton, OR 97005. The listed phone number is (503) 730-1790.

What is Sandra Rustam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Sandra Rustam was last updated on November 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.