Demographics
DOB: Oct 31, 2009
Sex: M
Status: active
Email: —
Mobile: 5035593078
Home: 5035593078
Department: HILLSBORO
Primary Provider: Elliot Taxman
Last Synced: Jun 17, 2026, 2:13 PM
Address: 4155 Lancaster Dr NE, SALEM, OR, 97305
Problem (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Mar 6, 2026 | — |
Vital (9)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Mar 6, 2026 | — | |
| Vital | Mar 6, 2026 | — | |
| Vital | Mar 6, 2026 | — | |
| Vital | Mar 6, 2026 | — | |
| Vital | Mar 6, 2026 | — | |
| Vital | Mar 6, 2026 | — | |
| Vital | Mar 6, 2026 | — | |
| Vital | Mar 6, 2026 | — | |
| Vital | Mar 6, 2026 | — |
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