| LCA CASE NUMBER | I-200-19081-897795 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-03-27 |
| DECISION DATE | 2019-10-01 |
| ORIGINAL CERT DATE | 2019-04-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PEDIATRIC DENTIST |
| SOC CODE | 29-1029 |
| SOC TITLE | DENTISTS, ALL OTHER SPECIALISTS |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2019-09-01 |
| END DATE | 2022-08-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | EUGENE KIDS' DENTIST, LLC |
| TRADE NAME DBA | EUGENE KIDS' DENTIST |
| EMPLOYER ADDRESS1 | 4122 QUEST DRIVE |
| EMPLOYER CITY | EUGENE |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5418441667 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | CAMPBELL |
| EMPLOYER POC FIRST NAME | ERIC |
| EMPLOYER POC MIDDLE NAME | ALLAN |
| EMPLOYER POC JOB TITLE | CLINIC ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 4122 QUEST DRIVE |
| EMPLOYER POC CITY | EUGENE |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97402 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 5419795757 |
| EMPLOYER POC EMAIL | ERIC.CAMPBELL@ATS-INV.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | JIMMY |
| AGENT ATTORNEY FIRST NAME | JIMMY |
| AGENT ATTORNEY ADDRESS1 | 851 SW SIXTH AVE |
| AGENT ATTORNEY ADDRESS2 | SUITE 1500 |
| AGENT ATTORNEY CITY | PORTLAND |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97204-1357 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 5032248654.0 |
| AGENT ATTORNEY EMAIL ADDRESS | JIMMYGO@LAWPDX.COM |
| LAWFIRM NAME BUSINESS NAME | JIMMY W. GO, P.C. |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | OREGON SUPREME COURT |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 4122 Quest Drive |
| LCA CASE WORKLOC1 CITY | Eugene |
| WORKSITE COUNTY | LANE |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97402 |
| LCA CASE WAGE RATE FROM | 100.0 |
| LCA CASE WAGE RATE TO | 157.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 94.0 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
