Yakima Valley Medical Conference Registration 26: Submission #1617

Submission Number: 1617
Submission ID: 4661
Submission UUID: ad7dc33f-982f-4f2e-a107-e72f244c62a5
Submission URI: /yakima26/form

Created: Wed, 01/21/2026 - 22:06
Completed: Wed, 01/21/2026 - 22:06
Changed: Wed, 01/21/2026 - 22:06

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

Is draft: No
Current page: Complete
First Name: Tiffany
Last Name: Ludka-Gaulke
Email: tludkagaulke@gmail.com
Degree: M.D.
Specialty: IM/Peds
Clinic/Organization: Providence Medical Group
Conference Format: {Empty}
Address: 10005 N Moss Ln
City: Spokane
State: WA
Zip: 99208
Phone: 7156150088
Payment:  Card payment
Conference type: Complete Conference
Thursday: {Empty}
Friday: Virtual
Saturday: Virtual
Notes: {Empty}
anet_transaction_reference: ref1769033186
anet_payment_status: success
Ammount: 449.445
Registration code: yakima26
Title: Yakima Valley Medical Conference 26
Receipt: http://russocme.com/webform/paid_conference_registration/submissions/4661/attachment/receipt/receipt.pdf
Payment Note: RussoCME
935 SE High St
Pullman, WA 99163
Invoice number: yakima26_1769033165
Tax: 34.445
Base amount: 415
Taxed Amount: 415
Total Days: 2
Recording Days: 0
Non Recording Days: 2
Per Day Amount: 207.5
Tax Percentage: 8.3