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Patient Profile: PETERSEN, Douglas

Athena ID #13988

Demographics

DOB: Nov 9, 1967
Sex: M
Status: inactive
Email: dougpetersen67@yahoo.com
Mobile: 9712407642
Home: 9712407642
Department: WEST SALEM
Primary Provider: Emma Stacey
Last Synced: Jun 17, 2026, 2:13 PM
Address: 1225 River Bend Rd NW, SALEM, OR, 97304-1458

No clinical chart records found.

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