Demographics
DOB: Oct 28, 1976
Sex: F
Status: active
Email: tag1916@yahoo.com
Mobile: 5039499678
Home: 5039499678
Department: WEST SALEM
Primary Provider: Emma Stacey
Last Synced: Jun 17, 2026, 2:13 PM
Address: 1205 Parkway Dr NW,, SALEM, OR, 97304
Allergy (4)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — | |
| Allergy | — | — | |
| Allergy | — | — | |
| Allergy | — | — |
Problem (2)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Jul 11, 2025 | — | |
| Problem | Jul 11, 2025 | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Aug 26, 2025 | — | |
| Vital | Aug 26, 2025 | — | |
| Vital | Aug 26, 2025 | — | |
| Vital | Aug 26, 2025 | — | |
| Vital | Aug 26, 2025 | — | |
| Vital | Aug 26, 2025 | — | |
| Vital | Aug 26, 2025 | — |
Well-Life Assistant
File: OTTERLEE, Jennifer
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