Provider Demographics
NPI:1932358561
Name:MEESE, CAPRICE A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAPRICE
Middle Name:A
Last Name:MEESE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CAPRICE
Other - Middle Name:A
Other - Last Name:SIEKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30300 SW BOONES FERRY RD
Mailing Address - Street 2:FRED MEYER PHARMACY
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-6889
Mailing Address - Country:US
Mailing Address - Phone:503-570-3533
Mailing Address - Fax:503-570-3527
Practice Address - Street 1:30300 SW BOONES FERRY RD
Practice Address - Street 2:FRED MEYER PHARMACY
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070
Practice Address - Country:US
Practice Address - Phone:503-570-3533
Practice Address - Fax:503-570-3527
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11235183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist