Demographics
DOB: Aug 23, 1986
Sex: F
Status: active
Email: sitjack@yahoo.com
Mobile: 5039993482
Home: 5039993482
Department: SOUTH SALEM
Primary Provider: Ellen Prairie
Last Synced: Jun 17, 2026, 2:13 PM
Address: 4810 Sunnyside Rd SE, SALEM, OR, 97302
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | Jul 9, 2013 | — |
Problem (14)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Jun 12, 2025 | — | |
| Problem | Jun 28, 2024 | — | |
| Problem | Feb 1, 2026 | — | |
| Problem | Jun 12, 2025 | — | |
| Problem | Feb 1, 2026 | — | |
| Problem | Jun 12, 2025 | — | |
| Problem | Jun 12, 2025 | — | |
| Problem | Feb 1, 2026 | — | |
| Problem | Jun 12, 2025 | — | |
| Problem | Jun 12, 2025 | — | |
| Problem | Feb 2, 2026 | — | |
| Problem | Jun 12, 2025 | — | |
| Problem | Jun 12, 2025 | — | |
| Problem | Feb 2, 2026 | — |
Vital (8)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Jan 30, 2026 | — | |
| Vital | Jan 30, 2026 | — | |
| Vital | Jan 30, 2026 | — | |
| Vital | Jul 24, 2025 | — | |
| Vital | Jan 30, 2026 | — | |
| Vital | Jan 30, 2026 | — | |
| Vital | Jan 30, 2026 | — | |
| Vital | Jan 30, 2026 | — |
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