| LCA CASE NUMBER | I-200-22187-334333 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-07-06 |
| DECISION DATE | 2022-07-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-08-01 |
| END DATE | 2025-07-31 |
| 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 | Columbia Basin Health Association |
| EMPLOYER ADDRESS1 | 1515 E. Columbia Street |
| EMPLOYER CITY | Othello |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 99344 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15094885256 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Carlson |
| EMPLOYER POC FIRST NAME | Kelly |
| EMPLOYER POC MIDDLE NAME | Leigh |
| EMPLOYER POC JOB TITLE | Chief Administrative Officer |
| EMPLOYER POC ADDRESS1 | 1515 E. Columbia Street |
| EMPLOYER POC CITY | Othello |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 99344 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15094885256 |
| EMPLOYER POC PHONE EXT | 8104 |
| EMPLOYER POC EMAIL | kellyc@cbha.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Roach |
| AGENT ATTORNEY FIRST NAME | Eamonn |
| AGENT ATTORNEY MIDDLE NAME | Patrick Sullivan |
| AGENT ATTORNEY ADDRESS1 | 9221 Sandifur Parkway |
| AGENT ATTORNEY ADDRESS2 | Suite C |
| AGENT ATTORNEY CITY | Pasco |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 99301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15095477587 |
| AGENT ATTORNEY EMAIL ADDRESS | eroach@roachlaw.com |
| LAWFIRM NAME BUSINESS NAME | Roach & Bishop, LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 601 Government Rd |
| LCA CASE WORKLOC1 CITY | Mattawa |
| WORKSITE COUNTY | GRANT |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 99349 |
| LCA CASE WAGE RATE FROM | 140000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 64355 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Todd |
| PREPARER FIRST NAME | Rachel |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | Roach & Bishop, LLP |
| PREPARER EMAIL | rtodd@roachlaw.com |
