Provider Demographics
NPI:1508384629
Name:TRI-ESSENCE CARE GROUP PLLC
Entity Type:Organization
Organization Name:TRI-ESSENCE CARE GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:R
Authorized Official - Last Name:BURDGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:360-682-6499
Mailing Address - Street 1:32650 STATE ROUTE 20 STE E203
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-2686
Mailing Address - Country:US
Mailing Address - Phone:360-360-6499
Mailing Address - Fax:360-682-6367
Practice Address - Street 1:32650 STATE ROUTE 20 STE E203
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-2686
Practice Address - Country:US
Practice Address - Phone:360-360-6499
Practice Address - Fax:360-682-6367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty