OrganizationActive
Canopy Clinic Pdx LLC
NPI 1013656677 · Massage Therapist · Portland, OR
Provider details
- NPI number
- 1013656677
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kelly Forester, Lmt(971) 266-3796
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Acupuncturist171100000X
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
917 Sw Oak St Ste 406
Portland, OR 97205-2838
Phone: (971) 266-3796
Street-level locationGet directions
Mailing address
1937 Nw Johnson St Apt 4
Portland, OR 97209-1335
Registry dates
- Enumerated
- 2022-06-01
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.