Eden Family Wellness Prof Corp

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

Legal business name

EDEN FAMILY WELLNESS PROF CORP

Practice address

5331 S Macadam Ave Ste 285
Portland, OR 97239-3849

Phone

(971) 400-8787

NPI assigned

Apr 20, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Aesha Marie Carrillo, DCNPI 1346957271

Title

Owner, Chiropractor

Phone

(971) 400-8787

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aesha Marie Carrillo, DC

  • Chiropractor
  • Portland, OR
  • NPI 1346957271
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1104761980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 SE OLVERA PL",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970806187",
            "telephone_number": "503-206-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 S MACADAM AVE STE 285",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393849",
            "telephone_number": "971-400-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN FAMILY WELLNESS PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "AESHA MARIE",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "971-400-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Edeen, MD
• Lynn S Edeline, LMT
• Alison Beth Edelman, MD, MPH
• Rachel Edelschick, MSW, CADC I
• Robert Alan Edelstein, LMFT, MFT
• Christopher Owen Eden, MD
• Jessica Eden, LMT
• David Tinman Edgar, LCSW
• Scott W Edgar, DMD
• Thomas Edgar, MD

• Pediatric Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Pediatric Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.