Organization · Type 2 NPI
Canopy Clinic PDX LLC
Massage Therapist · Portland, OR
NPI number
1013656677
Active
Practice location
917 SW Oak St Ste 406
Portland, OR 97205-2838
Mailing address
1937 NW Johnson St Apt 4
Portland, OR 97209-1335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acupuncturist | 171100000X | None listed |
| Massage Therapist Primary | 225700000X | None listed |
Massage Therapist: 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.
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About NPI 1013656677
Canopy Clinic PDX LLC's National Provider Identifier is 1013656677, issued on Jun 1, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 21, 2025.