Demographics
DOB: Apr 7, 1978
Sex: F
Status: active
Email: wormgirl78@gmail.com
Mobile: 5033103780
Home: 5033103780
Department: WEST SALEM
Primary Provider: Emma Stacey
Last Synced: Jun 17, 2026, 2:13 PM
Address: 5535 Woodside Ave SE, SALEM, OR, 97306
Allergy (5)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — | |
| Allergy | Jul 8, 2019 | — | |
| Allergy | May 12, 2018 | — | |
| Allergy | May 12, 2018 | — | |
| Allergy | May 12, 2018 | — |
Problem (5)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Oct 22, 2025 | — | |
| Problem | Aug 28, 2025 | — | |
| Problem | Aug 28, 2025 | — | |
| Problem | Sep 22, 2025 | — | |
| Problem | Aug 28, 2025 | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Feb 26, 2026 | — | |
| Vital | Feb 26, 2026 | — | |
| Vital | Feb 26, 2026 | — | |
| Vital | Feb 26, 2026 | — | |
| Vital | Feb 26, 2026 | — | |
| Vital | Feb 26, 2026 | — | |
| Vital | Feb 26, 2026 | — |
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