| LCA CASE NUMBER | I-200-17201-700337 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 7/25/2017 |
| DECISION DATE | 7/31/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 11/25/2017 |
| EMPLOYMENT END DATE | 11/24/2020 |
| LCA CASE EMPLOYER NAME | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| EMPLOYER ADDRESS | 1801 LIND AVE SW |
| EMPLOYER CITY | RENTON |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98057 |
| AGENT ATTORNEY NAME | , |
| LCA CASE JOB TITLE | PHYSICIAN INTERNAL MEDICINE |
| SOC CODE | 29-1063 |
| SOC NAME | INTERNISTS, GENERAL |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 190,528.00 |
| PW UNIT OF PAY | Year |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 190,528.00 |
| LCA CASE WAGE RATE TO | 231,941.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | EVERETT |
| WORKSITE COUNTY | SNOHOMISH |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98201 |
