Rustam, Sandra

Rustam, Sandra is an sole proprietor health care provider with primary practice located at 3601 Sw Murray Blvd Suite 300, Beaverton OR 97005-2354. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health, Managed Care Organizations / Health Maintenance Organization, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Rustam, Sandra can be contacted via phone (503) 730-1790.

Contact Information

Primary practice address
3601 Sw Murray Blvd Suite 300 Beaverton OR 97005-2354
Phone: (503) 730-1790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X
Managed Care Organizations / Health Maintenance Organization 302R00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1285820704
LBN Legal business name Rustam, Sandra
Credentials M.A., LPCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2007
Last updated Nov 25th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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