| LCA CASE NUMBER | I-200-16054-046916 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/29/16 |
| DECISION DATE | 3/4/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/15/16 |
| EMPLOYMENT END DATE | 7/14/19 |
| LCA CASE EMPLOYER NAME | PROVIDENCE HEALTH & SERVICES-WASHINGTON |
| EMPLOYER ADDRESS | 1801 LIND AVE SW |
| EMPLOYER CITY | RENTON |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98057 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 4255253190 |
| AGENT ATTORNEY NAME | RAILTON, WILLIAM |
| AGENT ATTORNEY CITY | BELLINGHAM |
| AGENT ATTORNEY STATE | WA |
| LCA CASE JOB TITLE | PHYSICIAN-FAMILY PRACTICE |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 63.04 |
| PW UNIT OF PAY | Hour |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 63.04 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | OLYMPIA |
| WORKSITE COUNTY | THURSTON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98506 |
