Demographics
DOB: Mar 18, 1986
Sex: M
Status: active
Email: markrussum09@gmail.com
Mobile: 5033139527
Home: 5033139527
Department: WEST SALEM
Primary Provider: Dale Lachance
Last Synced: Jun 17, 2026, 2:13 PM
Address: 15205 SE Millmain Dr, PORTLAND, OR, 97233-3349
Problem (2)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Dec 15, 2022 | — | |
| Problem | Dec 15, 2022 | — |
Well-Life Assistant
File: PRATT-RUSSUM, Mark W.
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