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Patient Profile: FORT, Viki

Athena ID #10592

Demographics

DOB: Jan 18, 1973
Sex: F
Status: active
Email: VIKIJULAINE@GMAIL.COM
Mobile: 5039905149
Home: 5039905149
Department: WEST SALEM
Primary Provider: Emma Stacey
Last Synced: May 28, 2026, 6:59 PM
Address: 3875 Woodward Ct NE, KEIZER, OR, 97303

Allergy (1)

TypeDescriptionOnset / DateStatus
Allergy

Problem (5)

TypeDescriptionOnset / DateStatus
ProblemAug 8, 2024
ProblemAug 8, 2024
ProblemSep 4, 2024
ProblemJan 6, 2025
ProblemJan 6, 2025

Vital (7)

TypeDescriptionOnset / DateStatus
VitalJan 6, 2025
VitalJan 6, 2025
VitalJan 6, 2025
VitalJan 6, 2025
VitalJan 6, 2025
VitalJan 6, 2025
VitalJan 6, 2025

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