Demographics
DOB: Jan 6, 1996
Sex: M
Status: inactive
Email: bella_nicholas@yahoo.com
Mobile: 9712738506
Home: 9712738506
Department: WEST SALEM
Primary Provider: Madeleine Sanford
Last Synced: May 28, 2026, 4:41 PM
Address: 920 13th St NE, SALEM, OR, 97301-9648
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — |
Problem (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Jan 30, 2024 | — | |
| Problem | Jan 30, 2024 | — | |
| Problem | Feb 29, 2024 | — | |
| Problem | Sep 10, 2024 | — | |
| Problem | Mar 19, 2024 | — | |
| Problem | Nov 19, 2024 | — | |
| Problem | Nov 19, 2024 | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Mar 19, 2024 | — | |
| Vital | Jan 5, 2024 | — | |
| Vital | Jan 5, 2024 | — | |
| Vital | Mar 19, 2024 | — | |
| Vital | Mar 19, 2024 | — | |
| Vital | Mar 19, 2024 | — | |
| Vital | Mar 19, 2024 | — |
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