Demographics
DOB: Oct 13, 1940
Sex: F
Status: active
Email: momof3boysr3vs@gmail.com
Mobile: 9713752129
Home: 9713752129
Department: WEST SALEM
Primary Provider: Emma Stacey
Last Synced: Jun 17, 2026, 2:13 PM
Address: 5695 South Kings Valley Hwy, DALLAS, OR, 97338-9437
Allergy (3)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — | |
| Allergy | — | — | |
| Allergy | May 17, 2024 | — |
Problem (11)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Feb 6, 2025 | — | |
| Problem | Mar 18, 2025 | — | |
| Problem | Dec 13, 2024 | — | |
| Problem | Aug 1, 2024 | — | |
| Problem | Nov 10, 2024 | — | |
| Problem | Jan 2, 2025 | — | |
| Problem | Dec 31, 2024 | — | |
| Problem | Dec 18, 2025 | — | |
| Problem | Aug 1, 2024 | — | |
| Problem | Dec 18, 2025 | — | |
| Problem | Nov 10, 2024 | — |
Vital (8)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Feb 17, 2026 | — | |
| Vital | Feb 17, 2026 | — | |
| Vital | Feb 17, 2026 | — | |
| Vital | Jan 15, 2026 | — | |
| Vital | Feb 17, 2026 | — | |
| Vital | Feb 17, 2026 | — | |
| Vital | Feb 17, 2026 | — | |
| Vital | Feb 17, 2026 | — |
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