EDEN FAMILY WELLNESS PROF CORP
EDEN FAMILY WELLNESS PROF CORP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104761980, based in Portland, OR. The organization lists 2 taxonomy classifications, with Pediatric Chiropractor recorded as primary.
Getting there
The practice address on file is 5331 S MACADAM AVE STE 285, Portland, OR 97239. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pediatric Chiropractor covers
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. NUCC Health Care Provider Taxonomy, code 111NP0017X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 111NP0017X | Pediatric Chiropractor Pediatric Chiropractor | — | — | primary |
| 111N00000X | Chiropractor | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1104761980 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 20, 2026 |
| Last updated | May 11, 2026 |
| Status | Active |
| Practice address |
5331 S MACADAM AVE STE 285 Portland, OR 97239 (971) 400-8787 |
| Mailing address |
1312 SE OLVERA PL Gresham, OR 97080 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 7 | 6 | 1 | 9 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 5 | 6 | 2 | 9 | 7 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.