Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | B - Amateur Club |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | Providence St Vincent Hospital Emergency Amateur Radio Team |
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| Attention | Jennifer P Goodman |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | Emergency Dept 9205 SW Barnes Rd |
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| Po Box | |
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| Locality | Portland |
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| County | Washington County |
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| State | OR - Oregon |
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| Postal Code | 97225 |
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| Zip Location | 45°30'11.0"N 122°46'12.5"W |
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| Maidenhead | CN85om |
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| FRN | 0017668484 |
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| Geo Region | 7 / OR |
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| Licensee ID/SGIN | L01390465 / 000 |
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| Callsign | KE7TDV |
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| Last Action Date | 2008-05-06 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | I - Online |
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| App Status | G - Granted |
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| Entered Timestamp | 2008-04-18 |
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| Fee Control Num | 0804189097896146 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Fri 2008-04-18 |
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| Payment Date | 2008-04-19 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | C - 1x3 |
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| Licensee Class | trustee: G - General |
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| New Seq Callsign | N |
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| Trustee Callsign | KE7FLV |
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| Trustee Name | GOODMAN, JENNIFER P |
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| ULS Group / ULS Region | C / 7 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | F - By List (Club) |
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| Fee Exempt / Waiver | N / N |
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