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

Eden Family Wellness Prof Corp

Organization Chiropractor · NPI 1104761980

Eden Family Wellness Prof Corp is a Chiropractor in Portland, Oregon. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5331 S Macadam Ave Ste 285
Portland, OR 97239-3849
Phone: (971) 400-8787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Chiropractor (primary) Taxonomy 111NP0017X
Chiropractor Taxonomy 111N00000X

Record details

NPI number1104761980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aesha Marie Carrillo — Owner, Chiropractor · (971) 400-8787
NPI enumeratedApril 20, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address1312 Se Olvera Pl, Gresham, OR 97080-6187

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