| LCA CASE NUMBER | I-200-19357-214014 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-23 |
| DECISION DATE | 2019-12-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-18 |
| END DATE | 2023-06-17 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | LEGACY CLINICS, LLC |
| TRADE NAME DBA | Legacy Medical Group |
| EMPLOYER ADDRESS1 | 1919 NW Lovejoy |
| EMPLOYER CITY | Portland |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97209 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +15034155772 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Renteria |
| EMPLOYER POC FIRST NAME | Ernest |
| EMPLOYER POC JOB TITLE | Legal Services |
| EMPLOYER POC ADDRESS1 | 1919 NW Lovejoy |
| EMPLOYER POC CITY | Portland |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97209 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +15034155772 |
| EMPLOYER POC EMAIL | erenteria@lhs.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Ness |
| AGENT ATTORNEY FIRST NAME | Gretel |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 1200 NW Naito Parkway |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97209 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15032411320.0 |
| AGENT ATTORNEY EMAIL ADDRESS | gmn@pbl.net |
| LAWFIRM NAME BUSINESS NAME | Parker Butte & Lane PC |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1015 NW 22nd Ave |
| LCA CASE WORKLOC1 CITY | Portland |
| WORKSITE COUNTY | MULTNOMAH |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97210 |
| LCA CASE WAGE RATE FROM | 242000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 229632.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Wolters |
| PREPARER FIRST NAME | Suzy |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Parker Butte and Lane PC |
| PREPARER EMAIL | sjw@pbl.net |
