| Street | 368 S State St | ||
| City/Town | Lake Oswego | ||
| State/Province/Region | Oregon | ||
| Zip/Postal Code | 97034 | ||
| Phone Number | (503) 635-3901 | ||
| Country | United States |
| Full Name | Rubie Mraz MD | ||
| Gender | female | ||
| Birthday | 1985-02-23 | ||
| Social Security Number | 386-37-2077 |
| Credit card brand | Visa | ||
| Credit card number | 4556617509827631 | ||
| Expire | 2030/4 | ||
| CVV | 873 |