Demographics
DOB: Sep 25, 1990
Sex: M
Status: active
Email: daniel.g.burgin@gmail.com
Mobile: 5023209607
Home: 5023209607
Department: WEST SALEM
Primary Provider: Emma Stacey
Last Synced: May 26, 2026, 12:41 PM
Address: 839 Delta Dr NE, KEIZER, OR, 97303
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | Jul 2, 2024 | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Oct 31, 2025 | — | |
| Vital | Oct 31, 2025 | — | |
| Vital | Oct 31, 2025 | — | |
| Vital | Oct 31, 2025 | — | |
| Vital | Oct 31, 2025 | — | |
| Vital | Oct 31, 2025 | — | |
| Vital | Oct 31, 2025 | — |
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