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CANOPY CLINIC PDX LLC
NPI 1013656677
Massage Therapist in Portland, OR

Active since June 01, 2022
917 SW OAK ST STE 406, PORTLAND, OR 97205(971) 266-3796 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Canopy Clinic Pdx Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANOPY CLINIC PDX LLC (NPI 1013656677) is a healthcare organization registered as a massage therapist in Portland, Oregon and active in the NPI registry since June 2022. The organization lists Kelly Forester, Lmt, as its authorized official.

NPPES Registry Identity

NPI1013656677
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameCANOPY CLINIC PDX LLC
Location Address917 SW OAK ST STE 406Portland, OR 97205-2838
Mailing Address1937 Nw Johnson St Apt 4Portland, OR 97209-1335
Phone(971) 266-3796
Organization SubpartNo
Authorized OfficialKelly ForesterLmt · (971) 266-3796
Enumeration DateJune 1, 2022
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1013656677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Also ListedAcupuncturistTaxonomy 171100000X
917 SW OAK ST STE 406, Portland, OR 97205
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canopy Clinic Pdx LLC's NPI number?

The NPI number for Canopy Clinic Pdx LLC is 1013656677. It was assigned to this organization in the NPPES registry on June 1, 2022.

Where is Canopy Clinic Pdx LLC located?

Canopy Clinic Pdx LLC is located at 917 SW Oak St Ste 406, Portland, OR 97205. The listed phone number is (971) 266-3796.

What is Canopy Clinic Pdx LLC's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

What insurance does Canopy Clinic Pdx LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Canopy Clinic Pdx LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Canopy Clinic Pdx LLC was last updated on January 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.