Individual provider Active NPI

Aesha Marie Carrillo, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1346957271
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6257 Issued in OR
Practice address
5331 S Macadam Ave Ste 285
Portland, OR 97239-3849
Phone
(503) 206-4082
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6257 OR Primary

Addresses

Primary practice location

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

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250626001738 OR Practitioner - Chiropractic 5799297420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilkes Family Investments LLCGroup PAC ID 2264943844, 3 clinicians

Practice addresses (Care Compare)

2705 E Burnside St
Suite 213
Portland, OR 97214-1768
Phone (503) 234-4288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wilkes Family Investments LLC Chiropractor CurrentSince Apr 21, 2025 Accepting new patients
Eden Family Wellness Prof Corp Chiropractor CurrentSince Nov 6, 2022 Accepting new patients
Wilkes Family Investments LLC Chiropractor CurrentSince Apr 21, 2025 Accepting new patients

Locations

2705 E Burnside St
Ste 213
Portland, OR 97214
Phone (503) 234-4288

5331 S Macadam Ave
Ste 285
Portland, OR 97239
Phone (503) 894-9118

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1346957271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 S MACADAM AVE STE 285",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393849",
            "fax_number": "971-277-1298"
        },
        {
            "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": "503-206-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "AESHA MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.