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Organization
BLUEBIRD SKY LLC
Active
Organization
BLUEBIRD SKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JC KANYEMERA (OWNER)
(971) 238-8977
Entity
Organization
Contact information
Practice address
17132 SE MANLEY ST, PORTLAND, OR 97236-4784
(971) 238-8977
Mailing address
140 SW COLUMBIA ST APT 1229, PORTLAND, OR 97201-5886
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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