Healthcare Provider Details

I. General information

NPI: 1720518251
Provider Name (Legal Business Name): MR. RHYS RUTGERS CONGER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2017
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 COBURG RD UNIT 301
EUGENE OR
97401-4900
US

IV. Provider business mailing address

PO BOX 772
SPRINGFIELD OR
97477-0132
US

V. Phone/Fax

Practice location:
  • Phone: 541-632-4850
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR8923
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: