Demographics
DOB: Jul 1, 1991
Sex: M
Status: inactive
Email: richarddominiak@live.com
Mobile: 5035456314
Home: 5035456314
Department: HILLSBORO
Primary Provider: Patrick Testa
Last Synced: May 28, 2026, 4:41 PM
Address: 1616 NW Everett St, PORTLAND, OR, 97209-2185
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — |
Problem (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Apr 12, 2024 | — |
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