| LCA CASE NUMBER | I-200-16081-948732 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/23/16 |
| DECISION DATE | 3/29/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 6/30/16 |
| EMPLOYMENT END DATE | 6/30/19 |
| LCA CASE EMPLOYER NAME | PROVIDENCE HEALTH & SERVICES - WA |
| EMPLOYER ADDRESS | 12800 BOTHELL-EVERETT HWY |
| EMPLOYER CITY | EVERETT |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98208 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4253165473 |
| AGENT ATTORNEY NAME | HARRIS, KRISTEN |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 133,224.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 225,867.20 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | MUKILTEO |
| WORKSITE COUNTY | SNOHOMISH |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98501 |
