Demographics
DOB: Dec 11, 1992
Sex: M
Status: active
Email: bcuppjr1@gmail.com
Mobile: 5039306073
Home: 5039306073
Department: WEST SALEM
Primary Provider: Madeleine Sanford
Last Synced: May 25, 2026, 9:13 PM
Address: 850 Cater Ct NE, KEIZER, OR, 97303-7828
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — |
Problem (11)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Feb 24, 2025 | — | |
| Problem | Nov 6, 2023 | — | |
| Problem | Nov 7, 2023 | — | |
| Problem | Nov 7, 2023 | — | |
| Problem | Nov 6, 2023 | — | |
| Problem | Nov 11, 2024 | — | |
| Problem | Feb 10, 2025 | — | |
| Problem | Nov 6, 2023 | — | |
| Problem | Nov 6, 2023 | — | |
| Problem | Nov 6, 2023 | — | |
| Problem | Jun 24, 2024 | — |
Vital (3)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Nov 4, 2025 | — | |
| Vital | Oct 6, 2025 | — | |
| Vital | Oct 6, 2025 | — |
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