CANOPY CLINIC PDX LLC NPI 1013656677

NPI Information

CANOPY CLINIC PDX LLC is a massage therapist in Portland, OR. The provider is 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. CANOPY CLINIC PDX LLC NPI is 1013656677. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

917 SW OAK ST STE 406
PORTLAND, OR
ZIP 97205-838
Phone: (971) 266-3796

The provider's authorized official is Kelly Forester .
The authorized official title is Lmt and has the following contact phone number (971) 266-3796.

The enumeration date for this NPI number is 6/1/2022 and was last updated on 6/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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