Demographics
DOB: Nov 25, 1956
Sex: M
Status: active
Email: siskba@gmail.com
Mobile: 2085899100
Home: 2085899100
Department: SOUTH SALEM
Primary Provider: Alexander Goldman
Last Synced: Jun 17, 2026, 2:13 PM
Address: 1188 Candlewood Dr NE, KEIZER, OR, 97303-4125
Allergy (8)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — | |
| Allergy | — | — | |
| Allergy | Feb 19, 2025 | — | |
| Allergy | Feb 19, 2025 | — | |
| Allergy | Feb 19, 2025 | — | |
| Allergy | Feb 19, 2025 | — | |
| Allergy | Feb 19, 2025 | — | |
| Allergy | Feb 19, 2025 | — |
Problem (10)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Apr 16, 2024 | — | |
| Problem | Sep 19, 2024 | — | |
| Problem | Apr 16, 2024 | — | |
| Problem | Jan 2, 2026 | — | |
| Problem | May 9, 2024 | — | |
| Problem | Apr 16, 2024 | — | |
| Problem | Sep 19, 2024 | — | |
| Problem | Aug 8, 2024 | — | |
| Problem | Apr 16, 2024 | — | |
| Problem | Apr 16, 2024 | — |
Vital (8)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Mar 4, 2026 | — | |
| Vital | Dec 9, 2024 | — | |
| Vital | Mar 4, 2026 | — | |
| Vital | Mar 4, 2026 | — | |
| Vital | Mar 4, 2026 | — | |
| Vital | Mar 4, 2026 | — | |
| Vital | Mar 4, 2026 | — | |
| Vital | Mar 4, 2026 | — |
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