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

Michael Jeffrey Penkman, OTD

Individual provider Pediatric Occupational Therapist · NPI 1306725395

Michael Jeffrey Penkman, OTD is a Pediatric Occupational Therapist in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

See every abbreviation used in this directory →

Practice location Address checks out

1815 NW 169th Pl Ste 3070
Beaverton, OR 97006-7368
Phone: (971) 249-2653
Fax: (503) 747-4373
Show map & directions

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

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 539390 (OR)

Record details

NPI number1306725395
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD
Sole proprietorNo
NPI enumeratedSeptember 2, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

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