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

Andrew Maxam, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821681586

Andrew Maxam, DO is a Student in an Organized Health Care Education/Training Program in Tacoma, Washington. Licensed in Indiana. Registered with an NPI since 2021.

Licensed in
IN
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-0117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 02006965A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821681586
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 14, 2021
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022
Mailing address9040 Jackson Ave, Tacoma, WA 98431-0001

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