Demographics
DOB: Feb 28, 1979
Sex: F
Status: active
Email: clevidencekate@gmail.com
Mobile: 5032670568
Home: 5032670568
Department: WEST SALEM
Primary Provider: Emma Stacey
Last Synced: May 26, 2026, 10:59 AM
Address: 817 Limelight Ave NW, SALEM, OR, 97304
Allergy (4)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — | |
| Allergy | Jul 21, 2015 | — | |
| Allergy | Jul 21, 2015 | — | |
| Allergy | Jul 12, 2011 | — |
Problem (3)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Jan 26, 2026 | — | |
| Problem | Jan 26, 2026 | — | |
| Problem | Jan 26, 2026 | — |
Vital (8)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Jan 26, 2026 | — | |
| Vital | Mar 24, 2025 | — | |
| Vital | Jan 26, 2026 | — | |
| Vital | Jan 26, 2026 | — | |
| Vital | Jan 26, 2026 | — | |
| Vital | Jan 26, 2026 | — | |
| Vital | Jan 26, 2026 | — | |
| Vital | Jan 26, 2026 | — |
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