| LCA CASE NUMBER | I-200-21070-137808 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-10 |
| DECISION DATE | 2021-03-17 |
| 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 | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-02 |
| END DATE | 2024-08-01 |
| 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 Doctors Clinic, A Professional Corporation |
| EMPLOYER ADDRESS1 | 9621 Ridgetop Boulevard NW |
| EMPLOYER CITY | Silverdale |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98383 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13607823600 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Gallington |
| EMPLOYER POC FIRST NAME | Katherine |
| EMPLOYER POC JOB TITLE | Director of Human Resources & Professional Services |
| EMPLOYER POC ADDRESS 1 | 9621 Ridgetop Boulevard NW |
| EMPLOYER POC CITY | Silverdale |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98383 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13607823604 |
| EMPLOYER POC EMAIL | kgallington@thedoctorsclinic.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Peng |
| AGENT ATTORNEY FIRST NAME | Leo |
| AGENT ATTORNEY ADDRESS1 | 1111 Third Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 3000 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12064474400 |
| AGENT ATTORNEY EMAIL ADDRESS | immgroup@foster.com |
| LAWFIRM NAME BUSINESS NAME | Foster Garvey PC |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 9398 Ridgetop Boulevard NW |
| LCA CASE WORKLOC1 CITY | Silverdale |
| WORKSITE COUNTY | KITSAP |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98383 |
| LCA CASE WAGE RATE FROM | 235000 |
| 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 | Borroff |
| PREPARER FIRST NAME | Silviya |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Foster Garvey PC |
| PREPARER EMAIL | immgroup@foster.com |
