| Street | 105 NW 2nd St | ||
| City/Town | Gresham | ||
| State/Province/Region | Oregon | ||
| Zip/Postal Code | 97030 | ||
| Phone Number | (503) 491-3224 | ||
| Country | United States |
| Full Name | Dr. Shaina Buckridge Sr. | ||
| Gender | female | ||
| Birthday | 1980-08-18 | ||
| Social Security Number | 003-08-6332 |
| Credit card brand | Mastercard | ||
| Credit card number | 5330554489762365 | ||
| Expire | 2030/6 | ||
| CVV | 475 |