Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sandra Rustam, MA, LPCI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1285820704

Sandra Rustam, MA, LPCI is an Addiction (Substance Use Disorder) Counselor in Beaverton, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
7
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

3601 SW Murray Blvd Ste 300
Beaverton, OR 97005-2354
Phone: (503) 730-1790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Community/Behavioral Health Agency Taxonomy 251S00000X
Health Maintenance Organization Taxonomy 302R00000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1285820704
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCI
Sole proprietorYes
NPI enumeratedSeptember 18, 2007
Last updated in NPPESNovember 25, 2016
Mailing address14745 Sw Sandhill Loop, Suite 204, Beaverton, OR 97007-9079

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