Individual provider · Type 1 NPI

Thursday Charboneau, PSS

Peer Specialist · Portland, OR

NPI number 1043047723 Active

Practice location

12360 E Burnside St
Portland, OR 97233-1042

Call (971) 279-4800 Map

Fax (971) 279-2051

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW000111376 (OR)

Peer Specialist: 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.

88 other providers at this address

Other peer specialist providers in Portland

See all in Portland →

About NPI 1043047723

Thursday Charboneau, PSS's National Provider Identifier is 1043047723, issued on Sep 17, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Sep 17, 2024.