Demographics
DOB: Aug 24, 2003
Sex: M
Status: inactive
Email: clbcdomingo@yahoo.com
Mobile: 5419218245
Home: 5419218245
Department: WEST SALEM
Primary Provider: —
Last Synced: Jun 17, 2026, 2:13 PM
Address: 5530 NE Banner Trl, OTIS, OR, 97368
Problem (2)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Jul 18, 2024 | — | |
| Problem | Jul 18, 2024 | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Jul 18, 2024 | — | |
| Vital | Jul 18, 2024 | — | |
| Vital | Jul 18, 2024 | — | |
| Vital | Jul 18, 2024 | — | |
| Vital | Jul 18, 2024 | — | |
| Vital | Jul 18, 2024 | — | |
| Vital | Jul 18, 2024 | — |
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