Demographics
DOB: Jun 18, 1991
Sex: M
Status: active
Email: Jeffforkin1@gmail.com
Mobile: 9713829068
Home: 9713829068
Department: HILLSBORO
Primary Provider: Aubrey Harding
Last Synced: Jun 17, 2026, 2:13 PM
Address: 1859 Skyline Ct S, SALEM, OR, 97306
No clinical chart records found.
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