| LCA CASE NUMBER | I-200-19163-546166 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-07-01 |
| DECISION DATE | 2019-07-08 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-08-23 |
| EMPLOYMENT END DATE | 2020-08-22 |
| LCA CASE EMPLOYER NAME | PROVIDENCE HEALTH & SERVICES - OREGON |
| EMPLOYER BUSINESS DBA | PROVIDENCE MEDICAL GROUP SOUTH |
| EMPLOYER ADDRESS | 4400 NE HALSEY STREET |
| EMPLOYER CITY | PORTLAND |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97213 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5038936150 |
| SECONDARY ENTITY | False |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | BETSYVO |
| AGENT ATTORNEY CITY | RENTON |
| AGENT ATTORNEY STATE | WA |
| LCA CASE JOB TITLE | PHYSICIAN - FAMILY PRACTICE |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 622110 |
| 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 | True |
| PREVAILING WAGE | 91915 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | 1 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 91915 |
| LCA CASE WAGE RATE TO | 210000 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | Medford |
| WORKSITE COUNTY | Jackson |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97504 |
| WILLFUL VIOLATOR | False |
