Demographics
DOB: Jun 17, 2017
Sex: M
Status: active
Email: —
Mobile: 5039307554
Home: 5039307554
Department: WEST SALEM
Primary Provider: Emma Stacey
Last Synced: Jun 17, 2026, 2:13 PM
Address: 2365 W Park St NW,, SALEM, OR, 97304
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Jan 16, 2026 | — | |
| Vital | Jan 16, 2026 | — | |
| Vital | Jan 16, 2026 | — | |
| Vital | Jan 16, 2026 | — | |
| Vital | Jan 16, 2026 | — | |
| Vital | Jan 16, 2026 | — | |
| Vital | Jan 16, 2026 | — |
Well-Life Assistant
File: PERNICKA, Jasper
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