Tri Cities Pain Conference Registration Form 26

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7 submissions
# Created User IP address First Name Last Name Email Degree Specialty Clinic/Organization Conference Format Address City State Zip Phone Payment Conference type Thursday Friday Saturday Notes anet_transaction_reference anet_payment_status Ammount Registration code Title Receipt Payment Note Invoice number Tax Base amount Taxed Amount Total Days Recording Days Non Recording Days Per Day Amount Tax Percentage Operations
1577 Wed, 01/14/2026 - 17:28 Anonymous 192.88.134.7 Melissa Lockhart MELISSAK16@HOTMAIL.COM D.C. Chiropractic Lockhart Chiropractic Inc 1410 N. Mullan Rd Suite 100 - Spokane Valley, WA 992060000 Spokane Valley WA 99206 5094132482 Card payment Complete Conference Virtual Virtual ref1768411699 success 288.32 tripain26 Tri Cities Pain Conference 26 Receipt RussoCME 935 SE High St Pullman, WA 99163 tripain26_1768411691 23.32 265 265 2 0 2 132.5 8.8
1544 Wed, 01/07/2026 - 06:37 Anonymous 192.88.134.7 christopher godbout cjgodbout@yahoo.com M.D. Interventional Pain Management MultiCare Health System 10625 Marine View Dr SW, Seattle WA 98146-1672 Seattle WA 98146-1672 9194141139 Card payment Complete Conference Virtual Virtual ref1767767850 pending 451.52 tripain26 Tri Cities Pain Conference 26 Receipt RussoCME 935 SE High St Pullman, WA 99163 tripain26_1767767834 36.52 415 415 2 0 2 207.5 8.8
1523 Sat, 12/27/2025 - 20:22 Anonymous 192.88.134.7 Nu Nwe Tun nunwe86@gmail.com M.D. Internal medicine Good Shepherd 620 NW 11 th street, M 103 Hermiston OR 97838 6262356710 Card payment Complete Conference In Person In Person ref1766866945 pending 451.52 tripain26 Tri Cities Pain Conference 26 Receipt RussoCME 935 SE High St Pullman, WA 99163 tripain26_1766866933 36.52 415 415 2 0 2 207.5 8.8
1481 Tue, 12/02/2025 - 00:58 russ4031 192.88.134.7 Grace McNelly mcnellyeliza@gmail.com M.D. d 3 Check Complete Conference In Person Recording ref1764637154 success 433.26 tripain26 Tri Cities Pain Conference 26 Receipt RussoCME 935 SE High St Pullman, WA 99163 tripain26_1764637129 18.26 415 207.5 2 1 1 207.5 8.8
1480 Tue, 12/02/2025 - 00:55 russ4031 192.88.134.7 Eliza Grace mcnellyeliza@gmail.com M.D. d 3 Check Complete Conference Recording Recording ref1764636911 success 415 tripain26 Tri Cities Pain Conference 26 Receipt RussoCME 935 SE High St Pullman, WA 99163 tripain26_1764636905 0 415 0 2 2 0 207.5 8.8
1479 Tue, 12/02/2025 - 00:51 russ4031 192.88.134.7 Eliza McNelly mcnellyeliza@gmail.com M.D. d 3 Check Complete Conference In Person In Person ref1764636722 success 451.52 tripain26 Tri Cities Pain Conference 26 Receipt RussoCME 935 SE High St Pullman, WA 99163 tripain26_1764636702 36.52 415 415 2 0 2 207.5 8.8
1444 Sun, 11/16/2025 - 00:07 Anonymous 192.88.134.7 Michael Oglesbay ebru@thehormonedr.com D.O. Hospice and Palliative Care 6559 N Rude St Dalton Gardens, ID 83815 Idaho 83815 2086201625 Card payment Complete Conference Virtual Virtual ref1763251668 pending 415 tripain26 Tri Cities Pain Conference 26 Receipt RussoCME 935 SE High St Pullman, WA 99163 tripain26_1763251628