Individual
DR. JEANNETTE STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2177
Mailing address
PO BOX 5371, SEATTLE, WA 98145-5005
(206) 987-2177
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD61405677
WA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
MD61405677
WA
Other
Enumeration date
03/20/2019
Last updated
01/20/2026
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