Demographics
DOB: Oct 7, 1985
Sex: M
Status: active
Email: dan@dantechmedia.com
Mobile: 5034903935
Home: 5034903935
Department: WEST SALEM
Primary Provider: Emma Stacey
Last Synced: May 26, 2026, 10:59 AM
Address: 2373 Laurel Ave NE, SALEM, OR, 97301-0936
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — |
Problem (2)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Dec 11, 2025 | — | |
| Problem | Dec 11, 2025 | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Feb 5, 2026 | — | |
| Vital | Feb 5, 2026 | — | |
| Vital | Feb 5, 2026 | — | |
| Vital | Feb 5, 2026 | — | |
| Vital | Feb 5, 2026 | — | |
| Vital | Feb 5, 2026 | — | |
| Vital | Feb 5, 2026 | — |
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