| LCA CASE NUMBER | I-200-16134-882068 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/24/16 |
| DECISION DATE | 5/31/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 6/6/16 |
| EMPLOYMENT END DATE | 6/5/19 |
| LCA CASE EMPLOYER NAME | PROVIDENCE HEALTH AND SERVICES |
| EMPLOYER ADDRESS | 1801 LIND AVE. SW |
| EMPLOYER CITY | RENTON |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98057 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4255253954 |
| AGENT ATTORNEY NAME | RAILTON, WILLIAM |
| AGENT ATTORNEY CITY | BELLINGHAM |
| AGENT ATTORNEY STATE | WA |
| LCA CASE JOB TITLE | QUALITY ASSURANCE TEST MANAGER |
| SOC CODE | 15-1199 |
| SOC NAME | COMPUTER OCCUPATIONS, ALL OTHER |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 71,032.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 92,934.40 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | BURBANK |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91505 |
