Demographics
DOB: Mar 10, 1961
Sex: M
Status: active
Email: martindouglass@mac.com
Mobile: 4153058048
Home: 4153058048
Department: WEST SALEM
Primary Provider: Aubrey Harding
Last Synced: May 27, 2026, 2:06 PM
Address: 9650 53rd Ave, PORTLAND, OR, 97219
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — |
Vital (5)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Mar 17, 2021 | — | |
| Vital | Mar 17, 2021 | — | |
| Vital | Mar 17, 2021 | — | |
| Vital | Mar 17, 2021 | — | |
| Vital | Mar 17, 2021 | — |
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File: DOUGLASS, Martin
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