Organization
EDEN FAMILY WELLNESS PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AESHA MARIE CARRILLO DC (OWNER, CHIROPRACTOR)
(971) 400-8787
Entity
Organization
Contact information
Practice address
5331 S MACADAM AVE STE 285, PORTLAND, OR 97239-3849
(971) 400-8787
Mailing address
1312 SE OLVERA PL, GRESHAM, OR 97080-6187
(503) 206-4082
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NP0017X
Pediatric Chiropractor
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
05/11/2026
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