Yakima Valley Medical Conference Registration 26: Submission #1627

Submission Number: 1627
Submission ID: 4686
Submission UUID: dcb04408-41cc-4371-9638-0271f60f2f04
Submission URI: /yakima26/form

Created: Mon, 01/26/2026 - 18:13
Completed: Mon, 01/26/2026 - 18:13
Changed: Mon, 01/26/2026 - 18:13

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

Is draft: No
Current page: Complete
First Name: Carmen
Last Name: Nored
Email: PrescriptionRN@gmail.com
Degree: N.P.
Specialty: Internal Medicine
Clinic/Organization: KVH Adult and Internal Medicine
Conference Format: {Empty}
Address: 409 N. Anderson Street
City: Ellensburg
State: WA
Zip: 98926
Phone: 5122282595
Payment:  Card payment
Conference type: Complete Conference
Thursday: {Empty}
Friday: In Person
Saturday: In Person
Notes: {Empty}
anet_transaction_reference: ref1769451228
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/4686/attachment/receipt/receipt.pdf
Payment Note: RussoCME
935 SE High St
Pullman, WA 99163
Invoice number: yakima26_1769451215
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