Demographics
DOB: Apr 11, 1975
Sex: M
Status: active
Email: blackcoffee411@gmail.com
Mobile: 9096418058
Home: 9096418058
Department: HILLSBORO
Primary Provider: Ellen Prairie
Last Synced: Jun 17, 2026, 2:13 PM
Address: 3327 SE Oakmeade Ave, HILLSBORO, OR, 97123-8921
Allergy (2)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | Feb 6, 2017 | — | |
| Allergy | Jan 1, 1995 | — |
Problem (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Jan 6, 2026 | — | |
| Problem | Jan 6, 2026 | — | |
| Problem | Jan 6, 2026 | — | |
| Problem | Jan 6, 2026 | — | |
| Problem | Jan 6, 2026 | — | |
| Problem | Feb 6, 2026 | — | |
| Problem | Jan 6, 2026 | — |
Vital (6)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Feb 4, 2026 | — | |
| Vital | Feb 4, 2026 | — | |
| Vital | Feb 17, 2026 | — | |
| Vital | Feb 4, 2026 | — | |
| Vital | Feb 4, 2026 | — | |
| Vital | Feb 4, 2026 | — |
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