Demographics
DOB: Aug 18, 2015
Sex: M
Status: inactive
Email: —
Mobile: 5034223819
Home: 5034223819
Department: WEST SALEM
Primary Provider: —
Last Synced: Jun 17, 2026, 2:13 PM
Address: 3280 Lansing Ave NE Apt 101, SALEM, OR, 97301-8679
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — |
Problem (5)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Jun 7, 2023 | — | |
| Problem | Feb 28, 2023 | — | |
| Problem | Aug 21, 2015 | — | |
| Problem | Feb 28, 2023 | — | |
| Problem | Aug 21, 2015 | — |
Vital (5)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Apr 20, 2023 | — | |
| Vital | Apr 20, 2023 | — | |
| Vital | Apr 20, 2023 | — | |
| Vital | Apr 20, 2023 | — | |
| Vital | Apr 20, 2023 | — |
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