| LCA CASE NUMBER | I-200-18213-084798 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 8/8/18 |
| DECISION DATE | 8/14/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/8/18 |
| EMPLOYMENT END DATE | 10/7/21 |
| LCA CASE EMPLOYER NAME | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| EMPLOYER BUSINESS DBA | PROVIDENCE MEDICAL GROUP SOUTHWEST WASHINGTON |
| EMPLOYER ADDRESS | 1801 LIND AVENUE |
| EMPLOYER CITY | RENTON |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98057 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4255253954 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | RAILTON, WILLIAM |
| AGENT ATTORNEY CITY | BELLINGHAM |
| AGENT ATTORNEY STATE | WA |
| LCA CASE JOB TITLE | PHYSICIAN FAMILY MEDICINE |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 127,358.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 247,303.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | CHEHALIS |
| WORKSITE COUNTY | LEWIS |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98532 |
