Demographics
DOB: Oct 22, 1974
Sex: M
Status: active
Email: bergerkevin630@gmail.com
Mobile: 9717724882
Home: 9717724882
Department: HILLSBORO
Primary Provider: Elliot Taxman
Last Synced: May 26, 2026, 10:59 AM
Address: 2224 Manzanita St NE, KEIZER, OR, 97303
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | Nov 21, 2018 | — |
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