Provider Demographics
NPI:1104484450
Name:VEIT, SYLAS LIAM
Entity type:Individual
Prefix:
First Name:SYLAS
Middle Name:LIAM
Last Name:VEIT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6118 SE BELMONT ST STE 411
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-1983
Mailing Address - Country:US
Mailing Address - Phone:503-908-9152
Mailing Address - Fax:
Practice Address - Street 1:6118 SE BELMONT ST STE 411
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-1983
Practice Address - Country:US
Practice Address - Phone:503-908-9152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-02
Last Update Date:2025-03-21
Deactivation Date:2022-12-11
Deactivation Code:
Reactivation Date:2023-02-06
Provider Licenses
StateLicense IDTaxonomies
ORR6343101YM0800X
ORCC7700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health