| LCA CASE NUMBER | I-200-21043-075055 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-12 |
| DECISION DATE | 2021-02-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-01 |
| END DATE | 2024-02-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Mid-Columbia Medical Center |
| EMPLOYER ADDRESS1 | 1700 East 19th Street |
| EMPLOYER CITY | The Dalles |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97058 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15412961111 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Cummings |
| EMPLOYER POC FIRST NAME | Katie |
| EMPLOYER POC JOB TITLE | Provider Recruiter |
| EMPLOYER POC ADDRESS 1 | 1700 East 19th Street |
| EMPLOYER POC CITY | The Dalles |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97058 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15412961111 |
| EMPLOYER POC EMAIL | katiec@mcmc.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Butte |
| AGENT ATTORNEY FIRST NAME | Dagmar |
| AGENT ATTORNEY ADDRESS1 | Parker, Butte & Lane, P.C. |
| AGENT ATTORNEY ADDRESS2 | 1200 NW Naito Parkway, Suite 200 |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97209 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15032411320 |
| AGENT ATTORNEY PHONE EXT | 148 |
| AGENT ATTORNEY EMAIL ADDRESS | db@pbl.net |
| LAWFIRM NAME BUSINESS NAME | Parker, Butte & Lane, P.C. |
| STATE OF HIGHEST COURT | OR |
|
| NAME OF HIGHEST STATE COURT | OREGON SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Columbia Crest Outpatient Specialties |
| WORKSITE ADDRESS2 | 1935 East 19th Street, Suite 110 |
| LCA CASE WORKLOC1 CITY | The Dalles |
| WORKSITE COUNTY | WASCO |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97058 |
| LCA CASE WAGE RATE FROM | 199285 |
| LCA CASE WAGE RATE TO | 216551.2 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 199285 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Parham |
| PREPARER FIRST NAME | Grace |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Parker, Butte & Lane, P.C. |
| PREPARER EMAIL | gep@pbl.net |
