Yakima Valley Medical Conference Registration 26: Submission #1597

Submission Number: 1597
Submission ID: 4623
Submission UUID: 4c83fbe6-4b00-46df-aab6-82f2a22a4519
Submission URI: /yakima26/form

Created: Mon, 01/19/2026 - 15:31
Completed: Mon, 01/19/2026 - 15:32
Changed: Mon, 01/19/2026 - 15:32

Remote IP address: 192.88.134.7
Submitted by: Anonymous
Language: English

Is draft: No
Current page: Complete
First Name: Leonard
Last Name: Puett
Email: lrp3@comcast.net
Degree: P.A.
Specialty: Primary Care
Clinic/Organization: MultiCare / Greater Lakes / Navos / Mary Bridge
Conference Format: {Empty}
Address: 2112 10th Ave Ct SE
City: Puyallup
State: WA
Zip: 98372
Phone: 2539062390
Payment:  Card payment
Conference type: Complete Conference
Thursday: {Empty}
Friday: Virtual
Saturday: Virtual
Notes: {Empty}
anet_transaction_reference: ref1768836748
anet_payment_status: success
Ammount: 422.37
Registration code: yakima26
Title: Yakima Valley Medical Conference 26
Receipt: http://russocme.com/webform/paid_conference_registration/submissions/4623/attachment/receipt/receipt.pdf
Payment Note: RussoCME
935 SE High St
Pullman, WA 99163
Invoice number: yakima26_1768836712
Tax: 32.37
Base amount: 390
Taxed Amount: 390
Total Days: 2
Recording Days: 0
Non Recording Days: 2
Per Day Amount: 195
Tax Percentage: 8.3