| LCA CASE NUMBER | I-200-20137-578532 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-05-15 |
| DECISION DATE | 2020-06-24 |
| ORIGINAL CERT DATE | 2020-05-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-11-12 |
| END DATE | 2023-11-11 |
| 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 | Asante Physician Partners |
| EMPLOYER ADDRESS1 | 2620 E. Barnett Road |
| EMPLOYER ADDRESS2 | Suite H |
| EMPLOYER CITY | Medford |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97504 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15417892557 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Grebosky |
| EMPLOYER POC FIRST NAME | James |
| EMPLOYER POC MIDDLE NAME | Michael |
| EMPLOYER POC JOB TITLE | Sr. Vice President & Chief Medical and Quality Officer |
| EMPLOYER POC ADDRESS1 | 2620 E. Barnett Road |
| EMPLOYER POC ADDRESS2 | Suite H |
| EMPLOYER POC CITY | Medford |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97504 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15417894154 |
| EMPLOYER POC EMAIL | James.Greboskymd@asante.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Owren |
| AGENT ATTORNEY FIRST NAME | Turid |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | 888 SW 5TH AVENUE |
| AGENT ATTORNEY ADDRESS2 | Suite 1600 |
| AGENT ATTORNEY CITY | PORTLAND |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15038022045.0 |
| AGENT ATTORNEY EMAIL ADDRESS | turid.owren@tonkon.com |
| LAWFIRM NAME BUSINESS NAME | TONKON TORP LLP |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | Oregon Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2825 E. Barnett Road |
| LCA CASE WORKLOC1 CITY | Medford |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97504 |
| LCA CASE WAGE RATE FROM | 377456.35 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
