Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANDRA RUSTAM, M.A., LPCI
Deactivated Sole ProprietorSANDRA RUSTAM, M.A., LPCI is a Professional Counselor healthcare provider located in BEAVERTON, Oregon. NPI 1285820704 is deactivated in the NPPES registry. Verify at CMS.
Professional Counselor · BEAVERTON, OR
This NPI has been deactivated.
The record was deactivated on July 29, 2013.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1285820704
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2007 (5.8602739726027 yrs)
- Last Updated
- Nov 25, 2016
- Deactivated
- Jul 29, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
3601 SW MURRAY BLVDSUITE 300BEAVERTON, OR, 970052354Browse OR providers · Browse ZIP 97005
- Phone
- 5037301790
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Community/Behavioral Health
- Additional Specialty
- Health Maintenance Organization
Other Professional Counselor Providers in BEAVERTON, OR
| Name | Credential | NPI |
|---|---|---|
| MELANIE B MAMOLA | PROF.COUNSELOR ASS. | 1891749941 |
| TIMOTHY ROGER HOWELL | MA LPC | 1265445811 |
| MARY C CARLYLE | MS | 1801809355 |
| TRACEY ANNE BEAGLE | — | 1265515027 |
| DEANNA NICOLE PICKETT | LPC, MA | 1578630943 |
| JENNIFER MCQUEEN | L.P.C. | 1346396744 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.