Sandra Rustam is a Counselor in Beaverton, Oregon. Sandra Rustam practices all healthcare services and medical treatments related to Counselor. The NPI Number for Sandra Rustam is 1285820704. The last update date is 2016-11-25.
Sandra Rustam's current location address is 14745 Sw Sandhill Loop, Beaverton, Oregon. You can contact this provider via phone number 5037301790. The mailing address for Sandra Rustam is 14745 Sw Sandhill Loop, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Rustam |
|---|---|
| Address | 14745 Sw Sandhill Loop, Beaverton, Oregon |
| Phone Number | 5037301790 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A., LPCI |
NPI Number Detail
| NPI Number | 1285820704 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2016-11-25 |
Provider Mailing Address Detail
| Address | 14745 Sw Sandhill Loop |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970079079 |
| Phone Number | 5037301790 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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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 supe |
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What is the unique identifier code issued to Sandra Rustam by the Centers for Medicare & Medicaid Services (CMS)?
The Sandra Rustam has been assigned the NPI (National Provider Identifier) 1285820704. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Sandra Rustam located?
The Sandra Rustam is located at 14745 Sw Sandhill Loop, Beaverton, OR 970079079.
What is Sandra Rustam's area of expertise and its corresponding taxonomy classification?
The Sandra Rustam's field of specialization is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Sandra Rustam receive its 1285820704 assignment from the Centers for Medicare & Medicaid Services?
The Sandra Rustam was assigned its 1285820704 by the Centers for Medicare & Medicaid Services on 2007-09-18.
As of what date were the Sandra Rustam's details last updated?
The information pertaining to the Sandra Rustam, including its address, specialty, and other details, was most recently updated on 2016-11-25.