Individual
DR. KELLIE JACLYN ROSS-CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
19171 SE MILL PLAIN BLVD STE 101, VANCOUVER, WA 98683-9321
(360) 883-8889
Mailing address
1017 SE 12TH AVE, APT 204, BATTLE GROUND, WA 98604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60758608
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
04/12/2016
Last updated
03/17/2018
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