Demographics
DOB: Dec 19, 2007
Sex: M
Status: active
Email: —
Mobile: 7752321160
Home: 7752321160
Department: SOUTH SALEM
Primary Provider: —
Last Synced: May 28, 2026, 6:59 PM
Address: 3626 River Rd S, SALEM, OR, 97302
Problem (3)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Jan 14, 2025 | — | |
| Problem | Jan 14, 2025 | — | |
| Problem | Jan 14, 2025 | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Jan 14, 2025 | — | |
| Vital | Jan 14, 2025 | — | |
| Vital | Jan 14, 2025 | — | |
| Vital | Jan 14, 2025 | — | |
| Vital | Jan 14, 2025 | — | |
| Vital | Jan 14, 2025 | — | |
| Vital | Jan 14, 2025 | — |
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