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THURSDAY CHARBONEAU PSS
NPI 1043047723
Peer Specialist in Portland, OR

Active since September 17, 2024
12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 279-4800(971) 279-2051 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thursday Charboneau Pss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THURSDAY CHARBONEAU PSS (NPI 1043047723) is an individual peer specialist in Portland, Oregon, licensed in Oregon (THW000111376) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1043047723
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTHURSDAY CHARBONEAUCredential: PSS
Location Address12360 E BURNSIDE STPortland, OR 97233-1042
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(971) 279-4800
Fax(971) 279-2051
Sole ProprietorNo
Enumeration DateSeptember 17, 2024
NPPES CertifiedSeptember 17, 2024
✔ NPI 1043047723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW000111376
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
12360 E BURNSIDE ST, Portland, OR 97233
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL T HIRSCH PCA/QMHP-C
Counselor
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
CHRISTA R ANDREASEN RN
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
JACQUELINE FAYE RICHLAND CSWA
Social Worker
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
VALERIE D CHAMBERS RN
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
ELIZABETH MORGAN BRADSHAW LCSW
Social Worker (Clinical)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 278-9480
REBEKAH L TRAVIS QMHA
Counselor (Mental Health)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
SARAH S RIVERA PSS
Peer Specialist
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thursday Charboneau's NPI number?

The NPI number for Thursday Charboneau is 1043047723. It was assigned to this individual provider in the NPPES registry on September 17, 2024.

Where is Thursday Charboneau located?

Thursday Charboneau practices at 12360 E Burnside St, Portland, OR 97233. The listed phone number is (971) 279-4800.

What is Thursday Charboneau's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Thursday Charboneau was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.