| LCA CASE NUMBER | I-200-20232-777629 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-19 |
| DECISION DATE | 2020-08-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-26 |
| END DATE | 2023-08-25 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Pacific Kidney & Hypertension, LLC |
| TRADE NAME DBA | Oregon Kidney & Hypertension Clinic |
| EMPLOYER ADDRESS1 | 1547 NE 40th Avenue |
| EMPLOYER ADDRESS2 | STE B |
| EMPLOYER CITY | Portland |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97232 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12066187041 |
| NAICS CODE | 621492 |
| EMPLOYER POC LAST NAME | Pascual |
| EMPLOYER POC FIRST NAME | Thao |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 1547 NE 40th Avenue |
| EMPLOYER POC ADDRESS2 | Suite B |
| EMPLOYER POC CITY | Portland |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97232 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12066187041 |
| EMPLOYER POC EMAIL | Thao.Pascual@davita.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Williams |
| AGENT ATTORNEY FIRST NAME | Steven |
| AGENT ATTORNEY MIDDLE NAME | Gregory |
| AGENT ATTORNEY ADDRESS1 | 2000 S. Colorado Blvd, Tower 3 |
| AGENT ATTORNEY ADDRESS2 | Suite 900 |
| AGENT ATTORNEY CITY | Denver |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13037646810.0 |
|
| AGENT ATTORNEY EMAIL ADDRESS | steven.williams@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | Colorado Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 15895 SW 72nd Ave |
| LCA CASE WORKLOC1 CITY | Tigard |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97224 |
| LCA CASE WAGE RATE FROM | 210000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Soto |
| PREPARER FIRST NAME | Jessica |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Ogletree Deakins |
| PREPARER EMAIL | jessica.soto@odnss.com |
