| LCA CASE NUMBER | I-200-17136-481883 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/16/2017 |
| DECISION DATE | 6/22/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/2/2017 |
| EMPLOYMENT END DATE | 12/1/2020 |
| LCA CASE EMPLOYER NAME | OREGON HEALTH AUTHORITY, OREGON STATE HOSPITAL |
| EMPLOYER ADDRESS | 2600 CENTER STREET NE |
| EMPLOYER CITY | SALEM |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5039474236 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KELLY, DAYNA |
| AGENT ATTORNEY CITY | CHAPEL HILL |
| AGENT ATTORNEY STATE | NC |
| LCA CASE JOB TITLE | PSYCHIATRIST |
| SOC CODE | 29-1066 |
| SOC NAME | PSYCHIATRISTS |
| NAICS CODE | 621112 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 18,735.00 |
| PW UNIT OF PAY | Month |
| PW WAGE LEVEL | N/A |
| PW SOURCE | CBA |
| PW SOURCE YEAR | 2016 |
| LCA CASE WAGE RATE FROM | 18,735.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Month |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | SALEM |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97301 |
