Provider Demographics
NPI:1225398118
Name:VEEDER, THOMAS ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ANDREW
Last Name:VEEDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1135 SE SALMON ST STE 104
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-2695
Mailing Address - Country:US
Mailing Address - Phone:503-999-1019
Mailing Address - Fax:971-266-2849
Practice Address - Street 1:1135 SE SALMON ST STE 104
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-2695
Practice Address - Country:US
Practice Address - Phone:503-999-1019
Practice Address - Fax:971-266-2849
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-24
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2806702084P0800X
ORMD1758172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry