Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sajjad Etminan

Individual provider Peer Specialist · NPI 1215891809

Sajjad Etminan is a Peer Specialist in Boise, Idaho. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

9428 W Fairview Ave
Boise, ID 83704-8101
Phone: (208) 246-9902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1215891809
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 10, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address710 Twilight Loop, Twin Falls, ID 83301-4200

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