Demographics
DOB: Jul 5, 1965
Sex: F
Status: active
Email: tshack65@gmail.com
Mobile: 4802205276
Home: 4802205276
Department: HILLSBORO
Primary Provider: Ellen Prairie
Last Synced: Jun 17, 2026, 2:13 PM
Address: 6605 Hazelgreen Rd NE, SALEM, OR, 97305
No clinical chart records found.
Well-Life Assistant
File: SHACKELFORD, Tanya
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