| Street | 15700 NW Blueridge Dr | ||
| City/Town | Beaverton | ||
| State/Province/Region | Oregon | ||
| Zip/Postal Code | 97006 | ||
| Phone Number | (503) 531-7220 | ||
| Country | United States |
| Full Name | Dr. Alvis Rodriguez | ||
| Gender | male | ||
| Birthday | 1982-01-11 | ||
| Social Security Number | 294-15-3666 |
| Credit card brand | Voyager | ||
| Credit card number | 8699844934084328 | ||
| Expire | 2031/10 | ||
| CVV | 855 |