SUSAN HOMOLKA ANP
NPI 1174660179
Nurse Practitioner - Adult Health in Eugene, OR

Active since January 31, 2007
1670 HIGH ST, EUGENE, OR 97401(541) 344-9411 Get Directions Write a Review

NPPES record last updated: July 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Homolka Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN HOMOLKA ANP (NPI 1174660179) is an individual adult health provider in Eugene, Oregon, licensed in Oregon (200350028NP) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1174660179
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSAN HOMOLKACredential: ANP
Location Address1670 HIGH STEugene, OR 97401-4151
Mailing Address3456 Olympic StSpringfield, OR 97478-5574 · (541) 729-7774
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 20, 2009
NPI 1174660179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in OR · 200350028NP
1670 HIGH ST, Eugene, OR 97401

Other Identifiers 1

Medicaid292793OR

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Family Planning Facility)
1670 HIGH ST
EUGENE, OR 97401
Obstetrics & Gynecology (Gynecology)
1670 HIGH ST
EUGENE, OR 97401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Homolka's NPI number?

The NPI number for Susan Homolka is 1174660179. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Susan Homolka located?

Susan Homolka practices at 1670 High St, Eugene, OR 97401. The listed phone number is (541) 344-9411.

What is Susan Homolka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Susan Homolka was last updated on July 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.