Demographics
DOB: Jan 25, 1981
Sex: M
Status: active
Email: STOCKBLOCK@HOTMAIL.COM
Mobile: 5038511881
Home: 5038511881
Department: HILLSBORO
Primary Provider: Elliot Taxman
Last Synced: May 26, 2026, 10:59 AM
Address: 905 22nd Ave NW, SALEM, OR, 97304
Problem (12)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Oct 28, 2025 | — | |
| Problem | Jul 23, 2025 | — | |
| Problem | Jul 23, 2025 | — | |
| Problem | Jul 23, 2025 | — | |
| Problem | Sep 29, 2025 | — | |
| Problem | Jul 23, 2025 | — | |
| Problem | Jan 27, 2026 | — | |
| Problem | Feb 23, 2026 | — | |
| Problem | Jul 23, 2025 | — | |
| Problem | Oct 28, 2025 | — | |
| Problem | Jul 23, 2025 | — | |
| Problem | Sep 29, 2025 | — |
Vital (8)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Feb 23, 2026 | — | |
| Vital | Jan 30, 2026 | — | |
| Vital | Jan 30, 2026 | — | |
| Vital | Jan 30, 2026 | — | |
| Vital | Jan 30, 2026 | — | |
| Vital | Jan 30, 2026 | — | |
| Vital | Jan 30, 2026 | — | |
| Vital | Jan 30, 2026 | — |
Well-Life Assistant
File: BOLTJES, Derrick
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