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

Tina Etminan, MD

Individual provider Pediatrics Physician · NPI 1275114811

Tina Etminan, MD is a Pediatric Medicine in Salem, Oregon. Graduated from University of South Alabama College of Medicine in 2021, 5 years ago. Works from 3 locations. Licensed in Oregon and Texas.

Years since qualifying
5
Trained at
University of South Alabama College of Medicine
Licensed in
OR, TX
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2400 Lancaster Dr NE
Salem, OR 97305-1221
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4900 Mueller Blvd Ste 3s.066c, Austin, TX 78723-3079 — (512) 324-0165
  • 1411 College Dr, Texarkana, TX 75503-3533 — (903) 791-1110

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD225464 (OR)
Pediatrics Physician Taxonomy 208000000X · Licence BP10075262 (TX)

Record details

NPI number1275114811
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2021
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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