Demographics
DOB: Jun 4, 1967
Sex: M
Status: inactive
Email: —
Mobile: 5036079529
Home: 5036079529
Department: HILLSBORO
Primary Provider: —
Last Synced: May 27, 2026, 10:53 AM
Address: 0000, BEAVERTON, OR, 97005
Vital (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Jul 13, 2022 | — |
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