| LCA CASE NUMBER | I-200-20027-277742 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-27 |
| DECISION DATE | 2020-02-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-25 |
| END DATE | 2023-07-24 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | THE EVERETT CLINIC, PLLC |
| EMPLOYER ADDRESS1 | 3901 HOYT AVENUE |
| EMPLOYER CITY | EVERETT |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14252590966 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | STANSBERRY |
| EMPLOYER POC FIRST NAME | LIBERTY |
| EMPLOYER POC JOB TITLE | VP HUMAN CAPITAL |
| EMPLOYER POC ADDRESS1 | 3901 HOYT AVENUE |
| EMPLOYER POC CITY | EVERETT |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14252590966 |
| EMPLOYER POC EMAIL | lbastian@everettclinic.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | WALKER |
| AGENT ATTORNEY FIRST NAME | BARRY |
| AGENT ATTORNEY MIDDLE NAME | JOE |
| AGENT ATTORNEY ADDRESS1 | P O BOX 1023 |
| AGENT ATTORNEY CITY | TUPELO |
| AGENT ATTORNEY STATE | MS |
| AGENT ATTORNEY POSTAL CODE | 38802 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16628410629.0 |
| AGENT ATTORNEY EMAIL ADDRESS | danane@walkerungo.com |
| LAWFIRM NAME BUSINESS NAME | BARRY J WALKER ATTY P A |
| STATE OF HIGHEST COURT | MS |
| NAME OF HIGHEST STATE COURT | STATE SUPREME COURT OF MISSISSIPPI |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 3901 HOYT AVENUE |
| LCA CASE WORKLOC1 CITY | EVERETT |
| WORKSITE COUNTY | SNOHOMISH |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98201 |
| LCA CASE WAGE RATE FROM | 230000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 192213.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | WALKER |
| PREPARER FIRST NAME | BARRY |
| PREPARER MIDDLE INITIAL | JOE |
| PREPARER BUSINESS NAME | BARRY J WALKER ATTY P A |
| PREPARER EMAIL | danane@walkerungo.com |
