Demographics
DOB: Dec 17, 2003
Sex: M
Status: active
Email: charclark1217@gmail.com
Mobile: 9719402871
Home: 9719402871
Department: HILLSBORO
Primary Provider: Dale Lachance
Last Synced: Jun 17, 2026, 2:13 PM
Address: 9801 SE Stephens St, PORTLAND, OR, 97216
Allergy (16)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — | |
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Problem (5)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Jun 19, 2025 | — | |
| Problem | Jun 19, 2025 | — | |
| Problem | Jun 19, 2025 | — | |
| Problem | Jun 19, 2025 | — | |
| Problem | Jun 19, 2025 | — |
Well-Life Assistant
File: SUMMERS, Charlie
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