EDEN FAMILY WELLNESS PROF CORP
NPI 1104761980
Chiropractor - Pediatric Chiropractor in Portland, OR
NPI Status: Active since April 20, 2026
Contact Information
5331 S MACADAM AVE STE 285
PORTLAND, OR
ZIP 97239
Phone: (971) 400-8787
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Chiropractor
- Pediatric Chiropractor
About EDEN FAMILY WELLNESS PROF CORP
This page provides the complete NPI Profile along with additional information for Eden Family Wellness Prof Corp, a provider established in Portland, Oregon operating as a Chiropractor, focusing in pediatric chiropractor . The healthcare provider is registered in the NPI registry with number 1104761980 assigned on April 2026. The practitioner's primary taxonomy code is 111NP0017X. The provider is registered as an organization and their NPI record was last updated May 2026. Eden Family Wellness Prof Corp operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Aesha Marie Carrillo Dc (Owner, Chiropractor)
- NPI
- 1104761980
- Provider Name
- EDEN FAMILY WELLNESS PROF CORP
- Entity Type
- Organization
- Location Address
- 5331 S MACADAM AVE STE 285 PORTLAND, OR 97239
- Location Phone
- (971) 400-8787
- Mailing Address
- 1312 SE OLVERA PL GRESHAM, OR 97080
- Mailing Phone
- (503) 206-4082
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-20-2026
- Last Update Date
- 05-11-2026
- Code Navigator
A chiropractor like Eden Family Wellness Prof Corp helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor Pediatric Chiropractor
- Taxonomy Code
- 111NP0017X
- Type
- Chiropractic Providers
- Taxonomy Description
- The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111N00000X | Chiropractic Providers | Chiropractor |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104761980, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104761980, enumerated as an "organization" on April 20, 2026.
The provider is located at 5331 S MACADAM AVE STE 285 PORTLAND, OR 97239 and the phone number is (971) 400-8787.
Chiropractor with taxonomy code 111NP0017X and a focus in Pediatric Chiropractor.
