| LCA CASE NUMBER | I-200-16082-309822 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/22/16 |
| DECISION DATE | 3/28/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/16 |
| EMPLOYMENT END DATE | 6/30/19 |
| LCA CASE EMPLOYER NAME | PUBLIC HOSPITAL DISTRICT NO. 1 OF MASON COUNTY |
| EMPLOYER ADDRESS | 901 MOUNTAIN VIEW DRIVE |
| EMPLOYER CITY | SHELTON |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98584 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 3604279549 |
| AGENT ATTORNEY NAME | BREY, INGRID |
| AGENT ATTORNEY CITY | GROSSE POINTE PARK |
| AGENT ATTORNEY STATE | MI |
| LCA CASE JOB TITLE | PHYSICIAN IINTERNAL MEDICINE |
| SOC CODE | 29-1063 |
| SOC NAME | INTERNISTS, GENERAL |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 177,590.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 193,693.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | SHELTON |
| WORKSITE COUNTY | MASON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98584 |
