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

Thursday Charboneau, PSS

Individual provider Peer Specialist · NPI 1043047723

Thursday Charboneau, PSS is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

12360 E Burnside St
Portland, OR 97233-1042
Phone: (971) 279-4800
Fax: (971) 279-2051
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence THW000111376 (OR)

Record details

NPI number1043047723
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSS
Sole proprietorNo
NPI enumeratedSeptember 17, 2024
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

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