Demographics
DOB: Aug 5, 1975
Sex: M
Status: active
Email: —
Mobile: 5035806660
Home: 5035806660
Department: SOUTH SALEM
Primary Provider: Ellen Prairie
Last Synced: Jun 17, 2026, 2:13 PM
Address: 1906 5th St NE, SALEM, OR, 97301
No clinical chart records found.
Well-Life Assistant
File: MACIEL, Noe
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