Demographics
DOB: Jul 23, 1988
Sex: M
Status: active
Email: Dirt.dangler13@gmail.com
Mobile: 9713009264
Home: 9713009264
Department: WEST SALEM
Primary Provider: Madeleine Sanford
Last Synced: Jun 17, 2026, 2:13 PM
Address: 26180 SW Canyon Creek Rd, WILSONVILLE, OR, 97070
No clinical chart records found.
Well-Life Assistant
File: KOLSTAD, Derek
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