| LCA CASE NUMBER | I-200-22201-365216 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-07-20 |
| DECISION DATE | 2022-07-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Practice Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| 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 | PENINSULA COMMUNITY HEALTH SERVICES |
| EMPLOYER ADDRESS1 | 400 WARREN AVENUE, SUITE 200 |
| EMPLOYER CITY | BREMERTON |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98337 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | WASHINGTON |
| EMPLOYER PHONE | 13604782366 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Cabral Perez |
| EMPLOYER POC FIRST NAME | Gustavo |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | HR Assistant |
| EMPLOYER POC ADDRESS1 | 400 Warren Ave |
| EMPLOYER POC ADDRESS2 | Ste 200 |
| EMPLOYER POC CITY | Bremerton |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98337 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13604756706 |
| EMPLOYER POC PHONE EXT | 4106 |
| EMPLOYER POC EMAIL | gcabralperez@pchsweb.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kelly |
| AGENT ATTORNEY FIRST NAME | Dayna |
| AGENT ATTORNEY MIDDLE NAME | Jo |
| AGENT ATTORNEY ADDRESS1 | 101 Two Hills Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 220 |
| AGENT ATTORNEY CITY | Carrboro |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19199697200 |
| 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 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 11901 137th Ave Ct NW |
| WORKSITE ADDRESS2 | Ste A |
| LCA CASE WORKLOC1 CITY | Gig Harbor |
| WORKSITE COUNTY | KITSAP |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98329-6617 |
| LCA CASE WAGE RATE FROM | 205000 |
| LCA CASE WAGE RATE TO | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 132205 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
