Demographics
DOB: Nov 17, 2003
Sex: M
Status: active
Email: Jake_peck17@icloud.com
Mobile: 5418019507
Home: 5418019507
Department: SOUTH SALEM
Primary Provider: —
Last Synced: Jun 17, 2026, 2:13 PM
Address: 4942 Liberty St Rd S Apt 31, SALEM, OR, 97306
Problem (2)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | May 20, 2025 | — | |
| Problem | May 20, 2025 | — |
Vital (8)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | May 20, 2025 | — | |
| Vital | May 20, 2025 | — | |
| Vital | May 20, 2025 | — | |
| Vital | May 20, 2025 | — | |
| Vital | May 20, 2025 | — | |
| Vital | May 20, 2025 | — | |
| Vital | May 20, 2025 | — | |
| Vital | May 20, 2025 | — |
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