Demographics
DOB: Dec 24, 1990
Sex: M
Status: active
Email: chclark208@gmail.com
Mobile: 2088917109
Home: 2088917109
Department: WEST SALEM
Primary Provider: —
Last Synced: May 25, 2026, 9:13 PM
Address: 10049 SE 36th Ave, PORTLAND, OR, 97222-6569
Problem (2)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Aug 28, 2023 | — | |
| Problem | Aug 28, 2023 | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Mar 21, 2024 | — | |
| Vital | Mar 21, 2024 | — | |
| Vital | Mar 21, 2024 | — | |
| Vital | Mar 21, 2024 | — | |
| Vital | Mar 21, 2024 | — | |
| Vital | Mar 21, 2024 | — | |
| Vital | Sep 6, 2023 | — |
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