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CANDY LYNN METELAK CRM, PRC, CADC I
NPI 1063035293
Counselor - Addiction (Substance Use Disorder) in Tigard, OR

Active since May 21, 2020
10362 SW MCDONALD ST, TIGARD, OR 97224(971) 202-7964(503) 639-3973 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Candy Lynn Metelak Crm, Prc, Cadc I NPPES

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

CANDY LYNN METELAK CRM, PRC, CADC I (NPI 1063035293) is an individual addiction (substance use disorder) provider in Tigard, Oregon, licensed in Oregon (20-P-02) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1063035293
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCANDY LYNN METELAKCredential: CRM, PRC, CADC I
Location Address10362 SW MCDONALD STTigard, OR 97224-4863
Mailing Address1027 E Burnside StPortland, OR 97214-1328 · (971) 202-7760 · Fax (503) 239-8406
Phone(971) 202-7964
Fax(503) 639-3973
Sole ProprietorNo
Enumeration DateMay 21, 2020
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1063035293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 20-P-02
10362 SW MCDONALD ST, Tigard, OR 97224
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Other Providers at the Same Location NPPES 19

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

SHANA SIERRA CADC II
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (971) 369-5564
GREGORY M TORNHOLM
Peer Specialist
10362 SW MCDONALD ST
PORTLAND, OR 97224
Washington County (971) 202-7964
JESSICA SIMONES
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (503) 624-0312
JAMES MARKOVICS
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (971) 202-7781
LESLIE DEE JOHNSON CADC I
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (503) 624-0312
SISII OZUNA
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
PORTLAND, OR 97224
Washington County (503) 624-0312
ALICIA HOWARD
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (503) 624-0312
MARK GRUDLE
Peer Specialist
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (971) 202-7964

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 Candy Metelak's NPI number?

The NPI number for Candy Metelak is 1063035293. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Where is Candy Metelak located?

Candy Metelak practices at 10362 SW Mcdonald St, Tigard, OR 97224. The listed phone number is (971) 202-7964.

What is Candy Metelak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Candy Metelak was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.