Organization · Type 2 NPI

Eden Family Wellness Prof Corp

Pediatric Chiropractor · Portland, OR

NPI number 1104761980 Active

Practice location

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

Mailing address

1312 SE Olvera Pl
Gresham, OR 97080-6187

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XNone listed
Pediatric Chiropractor Primary 111NP0017XNone listed

Pediatric Chiropractor: 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.

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About NPI 1104761980

Eden Family Wellness Prof Corp's National Provider Identifier is 1104761980, issued on Apr 20, 2026. The primary taxonomy on file is Pediatric Chiropractor (111NP0017X), and the practice location is in Portland, OR. The record was last updated on May 11, 2026.