Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Canopy Clinic Pdx LLC

Organization Acupuncturist · NPI 1013656677

Canopy Clinic Pdx LLC is an Acupuncturist in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

917 SW Oak St Ste 406
Portland, OR 97205-2838
Phone: (971) 266-3796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X
Acupuncturist Taxonomy 171100000X

Record details

NPI number1013656677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Forester — Lmt · (971) 266-3796
NPI enumeratedJune 1, 2022
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address1937 Nw Johnson St Apt 4, Portland, OR 97209-1335

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