Demographics
DOB: Jan 22, 1996
Sex: M
Status: active
Email: ultimatespeedstanley@gmail.com
Mobile: 8087960846
Home: 8087960846
Department: HILLSBORO
Primary Provider: Elliot Taxman
Last Synced: Jun 17, 2026, 2:13 PM
Address: 6750 State St, SALEM, OR, 97317
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | Jan 29, 2020 | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Jan 26, 2026 | — | |
| Vital | Jan 26, 2026 | — | |
| Vital | Jan 26, 2026 | — | |
| Vital | Jan 26, 2026 | — | |
| Vital | Jan 26, 2026 | — | |
| Vital | Jan 26, 2026 | — | |
| Vital | Jan 26, 2026 | — |
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