Individual provider · Type 1 NPI

Colter Travis Jensen-Dykes

Student in an Organized Health Care Education/Training Program · Fairbanks, AK

NPI number 1316845829 Active

Practice location

1007 N Chandalar Drive, Room 206, Whitaker Building
Fairbanks, AK 99775-0001

Mailing address

86457 Greenbriar Dr
Eugene, OR 97402-9000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316845829

Colter Travis Jensen-Dykes's National Provider Identifier is 1316845829, issued on Oct 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairbanks, AK. The record was last updated on Oct 27, 2026.