Canopy Clinic Pdx LLC
NPI 1013656677ActiveOrganization· Massage Therapist· Portland, OR
Massage Therapist in Portland, Oregon, registered in NPPES in June 2022. The authorized official on file is Kelly Forester, Lmt.
Overview
| NPI | 1013656677 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2022 |
| Last updated in NPPES | Jan 21, 2025 |
| Certified by provider | Jan 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | — | — |
| Acupuncturist | 171100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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