Demographics
DOB: Sep 23, 1961
Sex: M
Status: inactive
Email: —
Mobile: 5033991135
Home: 5033991135
Department: WEST SALEM
Primary Provider: —
Last Synced: Jun 17, 2026, 2:13 PM
Address: 4882 Lancaster Dr NE Unit 42, SALEM, OR, 97305-1744
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Jun 25, 2024 | — | |
| Vital | Jun 25, 2024 | — | |
| Vital | Jun 25, 2024 | — | |
| Vital | Jun 25, 2024 | — | |
| Vital | Jun 25, 2024 | — | |
| Vital | Jun 25, 2024 | — | |
| Vital | Jun 25, 2024 | — |
Well-Life Assistant
File: FAIRMAN, Michael
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