| LCA CASE NUMBER | I-200-20029-283257 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-29 |
| DECISION DATE | 2020-02-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-30 |
| END DATE | 2023-07-29 |
| 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 | SALEM HEALTH |
| EMPLOYER ADDRESS1 | 890 OAK STREET S.E. |
| EMPLOYER CITY | SALEM |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | OREGON |
| EMPLOYER PHONE | 15035615200 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Selander |
| EMPLOYER POC FIRST NAME | Gina |
| EMPLOYER POC JOB TITLE | Recruitment & Contracts Specialist |
| EMPLOYER POC ADDRESS1 | 890 OAK STREET S.E. |
| EMPLOYER POC CITY | SALEM |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15038141886 |
| EMPLOYER POC EMAIL | gina.selander@salemhealth.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Kelly |
| AGENT ATTORNEY FIRST NAME | Dayna |
| AGENT ATTORNEY MIDDLE NAME | Jo |
| AGENT ATTORNEY ADDRESS1 | 250 E. Winmore Ave |
| AGENT ATTORNEY CITY | Chapel Hill |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27516 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19199697200.0 |
| AGENT ATTORNEY EMAIL ADDRESS | INFO@DKELLY.COM |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Dayna Kelly, PC |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1049 Edgewater Street NW |
| WORKSITE ADDRESS2 | Suite 150 |
| LCA CASE WORKLOC1 CITY | Salem |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97304 |
| LCA CASE WAGE RATE FROM | 262500.0 |
| LCA CASE WAGE RATE TO | 383650.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 134410.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
