# CENTER FOR VEIN RESTORATION OR LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790689388
- **Authorized official:** KHANH QUOC NGUYEN DO (CMO)
- **Authorized official phone:** (301) 498-6076

## Contact information

- **Practice address:** 1405 SE 164TH AVE STE 101, VANCOUVER, WA 98683-9644
- **Practice address phone:** (855) 830-8346
- **Practice address fax:** (240) 473-4321
- **Mailing address:** 7474 GREENWAY CENTER DR STE 1000, GREENBELT, MD 20770-3500
- **Mailing address phone:** (855) 830-8346
- **Mailing address fax:** (240) 473-4321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2026
- **Last updated:** 10/06/2026