Demographics
DOB: Feb 28, 2004
Sex: M
Status: active
Email: loreleijack2004@gmail.com
Mobile: 5037097560
Home: 5037097560
Department: WEST SALEM
Primary Provider: Emma Stacey
Last Synced: May 25, 2026, 5:59 PM
Address: 639 Montgomery St. SE, ALBANY, OR, 97321
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — |
Problem (3)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Aug 21, 2025 | — | |
| Problem | Aug 21, 2025 | — | |
| Problem | Nov 25, 2025 | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Aug 21, 2025 | — | |
| Vital | Aug 21, 2025 | — | |
| Vital | Jan 8, 2026 | — | |
| Vital | Aug 21, 2025 | — | |
| Vital | Aug 21, 2025 | — | |
| Vital | Aug 21, 2025 | — | |
| Vital | Aug 21, 2025 | — |
Well-Life Assistant
File: CUNNINGHAM, Jack J.
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