Demographics
DOB: Nov 15, 1976
Sex: M
Status: active
Email: flyfishking08@gmail.com
Mobile: 2097437077
Home: 2097437077
Department: SOUTH SALEM
Primary Provider: Emma Stacey
Last Synced: Jun 17, 2026, 2:13 PM
Address: 1035 Parklawn Ct NE, KEIZER, OR, 97303-3561
Problem (12)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Feb 19, 2025 | — | |
| Problem | Mar 7, 2023 | — | |
| Problem | Jul 1, 2024 | — | |
| Problem | Apr 22, 2025 | — | |
| Problem | Mar 7, 2023 | — | |
| Problem | Mar 7, 2023 | — | |
| Problem | Mar 9, 2023 | — | |
| Problem | Jul 1, 2024 | — | |
| Problem | Jul 1, 2024 | — | |
| Problem | Mar 7, 2023 | — | |
| Problem | Apr 22, 2025 | — | |
| Problem | Mar 7, 2023 | — |
Vital (8)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Jan 20, 2026 | — | |
| Vital | Jan 20, 2026 | — | |
| Vital | Jan 20, 2026 | — | |
| Vital | Jan 20, 2026 | — | |
| Vital | Jan 20, 2026 | — | |
| Vital | Jan 20, 2026 | — | |
| Vital | Jan 20, 2026 | — | |
| Vital | Jan 20, 2026 | — |
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