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Sandra Rustam, MA,LPCI
Counselor in Beaverton, Oregon
NPI 1285820704

Sandra Rustam is a Counselor based in Beaverton, OR. Sandra Rustam practices in Beaverton, OR and has the professional credentials of MA,LPCI. The NPI Number for Sandra Rustam is 1285820704 and holds a License No. (Oregon).

The current practice location address for Sandra Rustam is 3601 Sw Murray Blvd, Beaverton, OR and can be reached out via phone at 503-730-1790. You can also correspond with Sandra Rustam through the mailing address at 14745 SW SANDHILL LOOP, BEAVERTON, OR - 97007-9079 (mailing address contact number: 503-730-1790).

Location: 3601 Sw Murray Blvd, Beaverton, OR, 97007-9079
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285820704
Provider Name
Sandra Rustam
Credential
MA,LPCI
Provider Entity Type
Individual
Gender
Female
Address
3601 Sw Murray Blvd, Beaverton, OR, 97007-9079
Phone Number
503-730-1790
Fax Number
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3601 Sw Murray Blvd
City
Beaverton
State
Oregon
Zip
97005-2354
Phone Number
503-730-1790
Fax Number
person
Provider Business Mailing Address Details
Address
14745 Sw Sandhill Loop
City
Beaverton
State
Oregon
Zip
97007-9079
Phone Number
503-730-1790
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 6
Type
Managed Care Organizations
Classification
Health Maintenance Organization
Speciality
-
Taxonomy
302R00000X
License No.
()
Definition
(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.
person
Provider's Taxonomy Details 7
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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