Demographics
DOB: Feb 21, 2001
Sex: F
Status: active
Email: gummychampagnebatty@gmail.com
Mobile: 6613420332
Home: 6613420332
Department: WEST SALEM
Primary Provider: Ellen Prairie
Last Synced: May 26, 2026, 10:59 AM
Address: 2101 North 3rd Ave, STAYTON, OR, 97383
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — |
Problem (11)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Jan 13, 2026 | — | |
| Problem | Feb 19, 2026 | — | |
| Problem | Feb 12, 2026 | — | |
| Problem | Feb 19, 2026 | — | |
| Problem | Feb 20, 2026 | — | |
| Problem | Feb 19, 2026 | — | |
| Problem | Feb 20, 2026 | — | |
| Problem | Feb 20, 2026 | — | |
| Problem | Jan 13, 2026 | — | |
| Problem | Jan 13, 2026 | — | |
| Problem | Feb 19, 2026 | — |
Vital (3)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Mar 12, 2026 | — | |
| Vital | Jan 13, 2026 | — | |
| Vital | Jan 13, 2026 | — |
Well-Life Assistant
File: CLARK, Tia
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