Demographics
DOB: Dec 31, 1955
Sex: M
Status: active
Email: caprice49006@gmail.com
Mobile: 9712399145
Home: 9712399145
Department: HILLSBORO
Primary Provider: Emma Stacey
Last Synced: Jun 17, 2026, 2:13 PM
Address: 3791 Bayonne Dr SE, SALEM, OR, 97317-5390
Allergy (3)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | Nov 29, 2023 | — | |
| Allergy | Dec 14, 2022 | — | |
| Allergy | Jul 12, 2019 | — |
Problem (4)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Aug 15, 2025 | — | |
| Problem | Aug 15, 2025 | — | |
| Problem | Aug 15, 2025 | — | |
| Problem | Aug 15, 2025 | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Sep 24, 2025 | — | |
| Vital | Sep 24, 2025 | — | |
| Vital | Sep 24, 2025 | — | |
| Vital | Sep 24, 2025 | — | |
| Vital | Sep 24, 2025 | — | |
| Vital | Sep 24, 2025 | — | |
| Vital | Sep 24, 2025 | — |
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