Demographics
DOB: Dec 2, 2002
Sex: M
Status: active
Email: jazz.peale2002@gmail.com
Mobile: 5039332035
Home: 9719856098
Department: HILLSBORO
Primary Provider: Patrick Testa
Last Synced: Jun 17, 2026, 2:13 PM
Address: 7605 SE Washington St, PORTLAND, OR, 97215
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — |
Problem (4)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Aug 29, 2025 | — | |
| Problem | Aug 29, 2025 | — | |
| Problem | Aug 29, 2025 | — | |
| Problem | Aug 29, 2025 | — |
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File: PRUITT, Michael
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