Demographics
DOB: Sep 1, 1966
Sex: M
Status: active
Email: douglaspetzold@yahoo.com
Mobile: 5035510401
Home: 5035510401
Department: WEST SALEM
Primary Provider: Alexander Goldman
Last Synced: Jun 17, 2026, 2:13 PM
Address: 793 Hazel St, JEFFERSON, OR, 97352-9253
Allergy (3)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — | |
| Allergy | May 30, 2025 | — | |
| Allergy | Sep 28, 2023 | — |
Problem (10)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Sep 8, 2023 | — | |
| Problem | Dec 7, 2025 | — | |
| Problem | Mar 10, 2026 | — | |
| Problem | Sep 8, 2023 | — | |
| Problem | Sep 8, 2023 | — | |
| Problem | Sep 8, 2023 | — | |
| Problem | Dec 7, 2025 | — | |
| Problem | Sep 8, 2023 | — | |
| Problem | Sep 2, 2025 | — | |
| Problem | Sep 8, 2023 | — |
Vital (10)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | May 2, 2025 | — | |
| Vital | Mar 25, 2024 | — | |
| Vital | Mar 25, 2024 | — | |
| Vital | Mar 10, 2026 | — | |
| Vital | Mar 10, 2026 | — | |
| Vital | Mar 10, 2026 | — | |
| Vital | Mar 10, 2026 | — | |
| Vital | Mar 10, 2026 | — | |
| Vital | Mar 10, 2026 | — | |
| Vital | Mar 10, 2026 | — |
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File: PETZOLD, Douglas
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