| LCA CASE NUMBER | I-200-21099-212158 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-09 |
| DECISION DATE | 2021-04-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | Coquille Valley Hospital District |
| TRADE NAME DBA | Coquille Valley Hospital |
| EMPLOYER ADDRESS1 | 940 E 5th Street |
| EMPLOYER CITY | Coquille |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97423 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15413961052 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Lang |
| EMPLOYER POC FIRST NAME | Jeffrey |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 940 E 5th Street |
| EMPLOYER POC CITY | Coquille |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97423 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15413961052 |
| EMPLOYER POC EMAIL | jeffl@cvhospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Norman |
| AGENT ATTORNEY FIRST NAME | Teuta |
| AGENT ATTORNEY MIDDLE NAME | Veizaj |
| AGENT ATTORNEY ADDRESS1 | 1342 Capitol Street NE |
| AGENT ATTORNEY CITY | Salem |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15033639903 |
| AGENT ATTORNEY EMAIL ADDRESS | teuta@immigrationoregon.com |
| LAWFIRM NAME BUSINESS NAME | Hecht & Norman LLP |
|
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | OREGON Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 790 E. 5th Street |
| LCA CASE WORKLOC1 CITY | Coquille |
| WORKSITE COUNTY | COOS |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97423 |
| LCA CASE WAGE RATE FROM | 263307 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 263307 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
