Demographics
DOB: Aug 9, 2006
Sex: M
Status: active
Email: IAnselmo08@gmail.com
Mobile: 9713881608
Home: 5035510697
Department: HILLSBORO
Primary Provider: Emma Stacey
Last Synced: May 25, 2026, 9:13 PM
Address: 740 Park Ave NE, SALEM, OR, 97301
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Mar 2, 2026 | — | |
| Vital | Mar 2, 2026 | — | |
| Vital | Mar 2, 2026 | — | |
| Vital | Mar 2, 2026 | — | |
| Vital | Mar 2, 2026 | — | |
| Vital | Mar 2, 2026 | — | |
| Vital | Mar 2, 2026 | — |
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