Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043047723 Individual Practitioner Female Practitioner

Thursday Charboneau , PSS

Peer Specialist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Thursday Charboneau, PSS is a registered healthcare professional specializing in Peer Specialist in Portland, OR. Practice services are available at 12360 E BURNSIDE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12360 E Burnside St

Portland, OR 972331042

Telephone 9712794800
Fax 9712792051
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
769 Specialists

Practicing in Portland, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-17
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR THW000111376

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013277201

PCA, QMHPC

Christa Andreasen , RN

Registered Nurse

NPI 1013570548

Registered Nurse

Jerry Buck

Counselor - Mental Health

NPI 1043840762
NPI 1063955623
Valerie Chambers , RN

Registered Nurse

NPI 1073185005

Registered Nurse

Elizabeth Bradshaw , LCSW

Social Worker - Clinical

NPI 1083157424

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 17, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2024

Registered at 12360 E BURNSIDE ST, PORTLAND, OR 972331042 (Tel: 9712794800)

📍
Updated Business Mailing Address September 17, 2024

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

👤
Provider Name / Credentials Updated September 17, 2024

Recorded as THURSDAY CHARBONEAU, PSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2024

Peer Specialist (License #THW000111376 in OR)

🟢
Initial NPI Registration & Enumeration September 17, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043047723
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2024
Last Update: September 17, 2024
Sole Proprietor: No

Mailing Address

1776 Sw Madison St

Portland, OR 972051715

Phone: 5032241044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.