| LCA CASE NUMBER | I-200-17122-155453 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/17/2017 |
| DECISION DATE | 5/23/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/11/2017 |
| EMPLOYMENT END DATE | 9/10/2020 |
| LCA CASE EMPLOYER NAME | PENINSULA COMMUNITY HEALTH SERVICES |
| EMPLOYER ADDRESS | 400 WARREN AVENUE, SUITE 200 |
| EMPLOYER CITY | BREMERTON |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98337 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 3604782366 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KELLY, DAYNA |
| AGENT ATTORNEY CITY | CHAPEL HILL |
| AGENT ATTORNEY STATE | NC |
| LCA CASE JOB TITLE | FAMILY PRACTICE PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 103,002.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 180,000.00 |
| LCA CASE WAGE RATE TO | 217,800.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | BREMERTON |
| WORKSITE COUNTY | KITSAP |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98310 |
