Demographics
DOB: Dec 5, 1948
Sex: M
Status: active
Email: —
Mobile: 5035599243
Home: 5035599243
Department: SOUTH SALEM
Primary Provider: Evelin Dacker
Last Synced: Jun 17, 2026, 2:13 PM
Address: 3100 Turner Rd S.E., SALEM, OR, 97302
Allergy (4)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | Apr 25, 2023 | — | |
| Allergy | Dec 4, 2015 | — | |
| Allergy | Dec 4, 2015 | — | |
| Allergy | Oct 11, 2014 | — |
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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