Demographics
DOB: Aug 31, 1973
Sex: M
Status: inactive
Email: jeremycollins13@gmail.com
Mobile: 9713881295
Home: 9712186418
Department: WEST SALEM
Primary Provider: Dale Lachance
Last Synced: May 28, 2026, 3:48 PM
Address: 4953 Oak Park Dr NE, SALEM, OR, 97305-2936
Problem (2)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Oct 19, 2023 | — | |
| Problem | Oct 19, 2023 | — |
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