Tri Cities Pain Conference Registration Form 26: Submission #1523

Submission Number: 1523
Submission ID: 4366
Submission UUID: 01ffcfb7-21e4-454a-ba72-a2a920229022
Submission URI: /tripain26/form

Created: Sat, 12/27/2025 - 20:22
Completed: Sat, 12/27/2025 - 20:22
Changed: Sat, 12/27/2025 - 20:22

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

Is draft: No
Current page: Complete
First Name: Nu Nwe
Last Name: Tun
Email: nunwe86@gmail.com
Degree: M.D.
Specialty: Internal medicine 
Clinic/Organization: Good Shepherd 
Conference Format: {Empty}
Address: 620 NW 11 th street, M 103
City: Hermiston
State: OR
Zip: 97838
Phone: 6262356710
Payment:  Card payment
Conference type: Complete Conference
Thursday: {Empty}
Friday: In Person
Saturday: In Person
Notes: {Empty}
anet_transaction_reference: ref1766866945
anet_payment_status: pending
Ammount: 451.52
Registration code: tripain26
Title: Tri Cities Pain Conference 26
Receipt: http://www.russocme.com/webform/paid_conference_registration/submissions/4366/attachment/receipt/receipt.pdf
Payment Note: RussoCME
935 SE High St
Pullman, WA 99163
Invoice number: tripain26_1766866933
Tax: 36.52
Base amount: 415
Taxed Amount: 415
Total Days: 2
Recording Days: 0
Non Recording Days: 2
Per Day Amount: 207.5
Tax Percentage: 8.8