| LCA CASE NUMBER | I-200-20295-884801 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-21 |
| DECISION DATE | 2020-10-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-11-17 |
| END DATE | 2023-11-16 |
| 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 | COMMUNITY HEALTH ASSOCIATION OF SPOKANE |
| EMPLOYER ADDRESS1 | 611 N IRON BRIDGE WAY |
| EMPLOYER CITY | SPOKANE |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 99202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15094448888 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | HALVORSON |
| EMPLOYER POC FIRST NAME | NATHAN |
| EMPLOYER POC JOB TITLE | COMPLIANCE OFFICER |
| EMPLOYER POC ADDRESS 1 | 611 N IRON BRIDGE WAY |
| EMPLOYER POC CITY | SPOKANE |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 99202 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15094448888 |
| EMPLOYER POC EMAIL | NHALVORSON@CHAS.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | ROACH |
| AGENT ATTORNEY FIRST NAME | EAMONN |
| AGENT ATTORNEY MIDDLE NAME | PATRICK SULLIVAN |
| AGENT ATTORNEY ADDRESS1 | 9221 SANDIFUR PARKWAY |
| AGENT ATTORNEY ADDRESS2 | SUITE C |
| AGENT ATTORNEY CITY | PASCO |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 99301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15095477587 |
| AGENT ATTORNEY EMAIL ADDRESS | EROACH@ROACHLAW.COM |
| LAWFIRM NAME BUSINESS NAME | ROACH & BISHOP, LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | WA STATE SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 203 E DALKE AVE |
| LCA CASE WORKLOC1 CITY | SPOKANE |
| WORKSITE COUNTY | SPOKANE |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 99208 |
| LCA CASE WAGE RATE FROM | 170310.4 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 170310.4 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | MILLIMAN, INC |
| PW SURVEY NAME | 2020 Northwest Healthcare Compensation Survey |
| TOTAL WORKSITE LOCATIONS | 7 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | MILLER |
| PREPARER FIRST NAME | MARIA |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | ROACH & BISHOP, LLP |
| PREPARER EMAIL | gmiller@roachlaw.com |
