| LCA CASE NUMBER | I-200-21105-228007 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-15 |
| DECISION DATE | 2021-04-22 |
| 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 | 2021-08-27 |
| END DATE | 2024-08-26 |
| 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 | Community Health Center of Snohomish County |
| EMPLOYER ADDRESS1 | 8609 Evergreen Way |
| EMPLOYER CITY | Everett |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98208 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14257893700 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Griggs |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC JOB TITLE | Recruiter |
| EMPLOYER POC ADDRESS 1 | 8609 Evergreen Way |
| EMPLOYER POC CITY | Everett |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98208 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14257893700 |
| EMPLOYER POC EMAIL | DGriggs@chcsno.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | LEDERMAN |
| AGENT ATTORNEY FIRST NAME | KEVIN |
| AGENT ATTORNEY ADDRESS1 | 1000 2ND AVENUE, SUITE 1620 |
| AGENT ATTORNEY CITY | SEATTLE |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12063401033 |
| AGENT ATTORNEY EMAIL ADDRESS | KLEDERMAN@CMLSEATTLE.COM |
| LAWFIRM NAME BUSINESS NAME | COWAN MILLER AND LEDERMAN |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
|
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Everett-North Clinic, 1424 Broadway |
| LCA CASE WORKLOC1 CITY | Everett |
| WORKSITE COUNTY | SNOHOMISH |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98201 |
| LCA CASE WAGE RATE FROM | 125286.47 |
| LCA CASE WAGE RATE TO | 169505.23 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 82285 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
