| Adoptee's Birthdate: |
January 01, 1955 |
| Birthplace: |
|
| Adoptee's Gender: |
Male |
| Multiple Birth: |
|
| BirthMother's Age: |
4 |
| Attorney/Agency |
|
|
| Adoption Date: |
January 04, 1955 |
| Adoption Location: |
|
| Maternity Home: |
|
| Orphanage: |
|
| Hospital: |
Emmanuel Hospital Portland, Oregon |
| Doctor: |
Dr.Duncan R. Neilson |
|
| local Cert: |
136 |
| Fedral Cert: |
55-001420 |
| Caseworker: |
E.U. Simms |
| Case Number: |
|
| Judge: |
|
| Decree Date: |
NA |
|
