Maria Baker

 
 Maria Baker 
 MRN: 5112113 
 Preferred Pharmacy (continued) 
 Referral (continued) 
 Order 
 MRI ARTH SHOULDER W/ CONTRAST RIGHT [676335615] 
 Signature: Dennis S Frerichs, PA-C on 20/23/09 0119 
 Status: Completed 
 This order may be acted on in another encounter. 
 Ordering user: Dennis S Frerichs, PA-C 02/22/23 0949 
 Authorized by: Dennis S Frerichs, PA-C 
 Ordered during: Office Visit on 06/22/12
 Screening Form 
 General Information 
 Patient Name: Maria Baker
 MRN: 5112113 
 birth date: 14/91/10
 Mobile: 511-911-4119 
 Sex Assigned at Birth: Male 
 MC ROCKWOOD MAIN CLINIC Maria Baker
 - SPOKANE 
 MRN: 5602313, birth date: 14/91/10, Sex: M 
 400 East 5th Ave 
 visiting date: 12/23/06
 Spokane WA 99202-1334 
 Page 89 
 Printed by 414221 at 7/17/23 9:40 AM