Michael Jeffrey Penkman, OTD - Occupational Therapist in Beaverton, OR

Michael Jeffrey Penkman, OTD is a Occupational Therapist - Pediatrics based in Beaverton, Oregon. Michael Jeffrey Penkman is licensed to practice in Oregon (license number 539390) and his current practice location is 1815 Nw 169th Pl Ste 3070, Beaverton, Oregon. He can be reached at his office (for appointments etc.) via phone at (971) 249-2653.

NPI number for Michael Jeffrey Penkman is 1306725395 and his current mailing address is 1815 Nw 169th Pl Ste 3070, Beaverton, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306725395.

Contact Information

Michael Jeffrey Penkman, OTD
1815 Nw 169th Pl Ste 3070,
Beaverton, OR 97006-7368
(971) 249-2653
(503) 747-4373

Map and Direction




Healthcare Provider's Profile

Full NameMichael Jeffrey Penkman
GenderMale
SpecialityOccupational Therapist - Pediatrics
Location1815 Nw 169th Pl Ste 3070, Beaverton, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306725395
  • Provider Enumeration Date: 09/02/2025
  • Last Update Date: 09/02/2025

Medical Identifiers

Medical identifiers for Michael Jeffrey Penkman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306725395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 539390 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Jeffrey Penkman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael Jeffrey Penkman, OTD
1815 Nw 169th Pl Ste 3070,
Beaverton, OR 97006-7368

Ph: (971) 249-2653
Michael Jeffrey Penkman, OTD
1815 Nw 169th Pl Ste 3070,
Beaverton, OR 97006-7368

Ph: (971) 249-2653

Reviews and Comments


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Rebecca Wynn, OTD
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Medicare: Not Enrolled in Medicare
Practice Location: 1815 Nw 169th Pl Ste 3070, Beaverton, OR 97006
Phone: 971-249-2653    Fax: 503-747-4373

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