Whalio Doctors

NPI 1053235325

Bluebird Sky LLC

Organisation Physical Disabilities Residential Treatment Facility Portland, OR

Practice location

Address
17132 SE Manley St, Portland, OR 97236-4784
Phone
(971) 238-8977
Mailing address
140 SW Columbia St APT 1229, Portland, OR 97201-5886

Authorised official

Name
Jc Kanyemera
Title
Owner
Phone
(971) 238-8977

Registered specialties

Physical Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320700000X

Registry record

NPI
1053235325
Entity type
Organization
NPI issued
7 Aug 2026
Record last updated
7 Aug 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.