Demographics
DOB: Feb 17, 2019
Sex: M
Status: active
Email: —
Mobile: 5032692388
Home: 5032692388
Department: HILLSBORO
Primary Provider: Ellen Prairie
Last Synced: Jun 17, 2026, 2:13 PM
Address: 6885 Pierce Dr N, KEIZER, OR, 97303
No clinical chart records found.
Well-Life Assistant
File: MATA, Encarnacion
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