| LCA CASE NUMBER | I-200-21062-117815 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-03-03 |
| DECISION DATE | 2021-10-08 |
| ORIGINAL CERT DATE | 2021-03-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | INTERNAL MEDICINE TEACHING PHYSICIAN/MEDICAL DIRECTOR |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-16 |
| END DATE | 2024-08-15 |
| 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 | LEGACY EMANUEL HOSPITAL AND MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 2801 N GANTENBEIN AVE |
| EMPLOYER CITY | PORTLAND |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97227 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15034137559 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | RENTERIA |
| EMPLOYER POC FIRST NAME | ERNEST |
| EMPLOYER POC JOB TITLE | LEGAL ASSISTANT/LEGAL SERVICES |
| EMPLOYER POC ADDRESS1 | 1919 NW LOVEJOY |
| EMPLOYER POC CITY | PORTLAND |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97209 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15034155772 |
| EMPLOYER POC EMAIL | ERENTERIA@LHS.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | NESS |
| AGENT ATTORNEY FIRST NAME | GRETEL |
| AGENT ATTORNEY MIDDLE NAME | MARGARET |
| AGENT ATTORNEY ADDRESS1 | 1200 NW NAITO PARKWAY |
| AGENT ATTORNEY ADDRESS2 | STE. 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 EMAIL ADDRESS | GMN@PBL.NET |
| LAWFIRM NAME BUSINESS NAME | PARKER BUTTE & LANE, PC |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2801 N GANTENBEIN AVE |
| LCA CASE WORKLOC1 CITY | PORTLAND |
| WORKSITE COUNTY | MULTNOMAH |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97227 |
| LCA CASE WAGE RATE FROM | 240306 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 | WOLTERS |
| PREPARER FIRST NAME | SUZY |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | PARKER BUTTE & LANE |
| PREPARER EMAIL | SJW@PBL.NET |
