Demographics
DOB: Feb 11, 1963
Sex: M
Status: active
Email: bobshack1@gmail.com
Mobile: 5039834086
Home: 5039834086
Department: HILLSBORO
Primary Provider: Elliot Taxman
Last Synced: Jun 17, 2026, 2:13 PM
Address: 6605 Hazelgreen Rd NE, SALEM, OR, 97305
Allergy (3)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | May 21, 2024 | — | |
| Allergy | Jan 10, 2022 | — | |
| Allergy | Mar 8, 2016 | — |
Vital (3)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Mar 2, 2026 | — | |
| Vital | Mar 2, 2026 | — | |
| Vital | Mar 2, 2026 | — |
Well-Life Assistant
File: SHACKELFORD, Bobby
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