Demographics
DOB: Nov 1, 1961
Sex: F
Status: inactive
Email: kellinou@gmail.com
Mobile: 9712372626
Home: 9712372626
Department: WEST SALEM
Primary Provider: Emma Stacey
Last Synced: May 28, 2026, 7:42 PM
Address: 450 SE Lacreloe Drive, DALLAS, OR, 97338
Allergy (5)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — | |
| Allergy | — | — | |
| Allergy | Oct 28, 2025 | — | |
| Allergy | Oct 28, 2025 | — | |
| Allergy | Jul 8, 2025 | — |
Problem (4)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Aug 8, 2024 | — | |
| Problem | Aug 8, 2024 | — | |
| Problem | Aug 8, 2024 | — | |
| Problem | Aug 8, 2024 | — |
Vital (8)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Dec 4, 2024 | — | |
| Vital | Dec 4, 2024 | — | |
| Vital | Dec 4, 2024 | — | |
| Vital | Dec 4, 2024 | — | |
| Vital | Dec 4, 2024 | — | |
| Vital | Nov 4, 2024 | — | |
| Vital | Dec 4, 2024 | — | |
| Vital | Dec 4, 2024 | — |
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