| LCA CASE NUMBER | I-200-16237-663848 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 8/26/16 |
| DECISION DATE | 9/1/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/5/16 |
| EMPLOYMENT END DATE | 9/4/18 |
| LCA CASE EMPLOYER NAME | PROVIDENCE HEALTH & SERVICES - OREGON |
| EMPLOYER ADDRESS | 4400 NE HALSEY STREET |
| EMPLOYER CITY | PORTLAND |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97213 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 5038936092 |
| AGENT ATTORNEY NAME | RAILTON, WILLIAM |
| AGENT ATTORNEY CITY | BELLINGHAM |
| AGENT ATTORNEY STATE | WA |
| LCA CASE JOB TITLE | SURGICAL FELLOW |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 64,783.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2014 |
| PW SOURCE OTHER | AAMC SURVEY OF RESIDENT/FELLOW STIPENDS AND BENEFITS REPORT |
| LCA CASE WAGE RATE FROM | 69,801.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | PORTLAND |
| WORKSITE COUNTY | MULTNOMAH |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97213 |
