Sandra Rustam , MA, LPCI
Counselor - Professional • Beaverton, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sandra Rustam has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Sandra Rustam, MA, LPCI was a registered Counselor - Professional practicing in Beaverton, OR. Throughout an active medical career spanning 6 years, Sandra Rustam provided care at the practice location at 3601 SW MURRAY BLVD until profile deactivation on 2013-07-29.
Practice Location & Contact Primary Location
3601 Sw Murray Blvd
Suite 300
Beaverton, OR 970052354
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Beaverton, OR
Practicing in Beaverton, OR (2601 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
NUCC Taxonomy Code: 101YM0800X
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NUCC Taxonomy Code: 101YA0400X
Definition to come...
NUCC Taxonomy Code: 302R00000X
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
NUCC Taxonomy Code: 320800000X
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
NUCC Taxonomy Code: 251S00000X
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Registered Nurse
RNBSN
Pharmacist - Pharmacotherapy
Doctor of Pharmacy (Pharm.D.)
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 3601 SW MURRAY BLVD, SUITE 300, BEAVERTON, OR 970052354 (Tel: 5037301790)
Registered at 14745 SW SANDHILL LOOP, SUITE 204, BEAVERTON, OR 970079079 (Tel: 5037301790)
Recorded as SANDRA RUSTAM, M.A., LPCI
Counselor
Record officially reactivated for active practice on November 17, 2016
Record deactivated on July 29, 2013
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
14745 Sw Sandhill Loop, Suite 204
Beaverton, OR 970079079
Phone: 5037301790
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.