Eden Family Wellness Prof Corp
NPI 1104761980 · Pediatric Chiropractor · Portland, OR
Eden Family Wellness Prof Corp is a Pediatric Chiropractor organization in Portland, OR (NPI 1104761980).
Provider details
- NPI number
- 1104761980
- Entity type
- Organization
- Primary specialty
- Pediatric ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Aesha Marie Carrillo, Owner, Chiropractor(971) 400-8787
Specialties & taxonomies
Chiropractic Providers
- Chiropractor111N00000X
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 2026-05-11
- Certified
- 2026-05-11
Frequently asked questions
- What is Eden Family Wellness Prof Corp's NPI number?
- Eden Family Wellness Prof Corp's National Provider Identifier (NPI) is 1104761980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eden Family Wellness Prof Corp?
- Eden Family Wellness Prof Corp is classified in the NPPES registry as Pediatric Chiropractor (Chiropractic Providers).
- Where is Eden Family Wellness Prof Corp located?
- Eden Family Wellness Prof Corp's practice location on file with NPPES is 5331 S Macadam Ave Ste 285, Portland, OR 97239-3849.
- What is Eden Family Wellness Prof Corp's phone number?
- The practice phone number listed in the NPPES registry for Eden Family Wellness Prof Corp is (971) 400-8787.
- Who is the authorized official for Eden Family Wellness Prof Corp?
- The authorized official listed on Eden Family Wellness Prof Corp's NPPES record is Aesha Marie Carrillo, Owner, Chiropractor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eden Family Wellness Prof Corp's NPI active?
- Yes — Eden Family Wellness Prof Corp's NPI (1104761980) is active in the NPPES registry as of the last update on 2026-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.