Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kellie Jaclyn Ross-Chavez, OD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376907626

Dr. Kellie Jaclyn Ross-Chavez, OD is a Student in an Organized Health Care Education/Training Program in Vancouver, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

19171 SE Mill Plain Blvd Ste 101
Vancouver, WA 98683-9321
Phone: (360) 883-8889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 29570 Water St, Highland, CA 92346-3949 — (909) 957-4279

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD60758608 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OR)

Record details

NPI number1376907626
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedApril 12, 2016
Last updated in NPPESMarch 17, 2018

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