Demographics
DOB: Apr 19, 1951
Sex: M
Status: active
Email: outland102@comcast.net
Mobile: 5039317706
Home: 5039317706
Department: WEST SALEM
Primary Provider: Evelin Dacker
Last Synced: Jun 17, 2026, 2:13 PM
Address: 4220 Barrett St S, SALEM, OR, 97302
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | May 4, 2021 | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Mar 4, 2026 | — | |
| Vital | Mar 4, 2026 | — | |
| Vital | Mar 4, 2026 | — | |
| Vital | Mar 4, 2026 | — | |
| Vital | Mar 4, 2026 | — | |
| Vital | Mar 4, 2026 | — | |
| Vital | Mar 4, 2026 | — |
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