| LCA CASE NUMBER | I-200-21137-317706 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-17 |
| DECISION DATE | 2021-05-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-03 |
| END DATE | 2024-07-02 |
| 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 | Southern Oregon Hospitalists, PC |
| EMPLOYER ADDRESS1 | 2640 E. Barnett Road, E-333 |
| EMPLOYER CITY | Medford |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97504 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15412826770 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Johnston |
| EMPLOYER POC FIRST NAME | Tim |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 2640 E. Barnett Road, E-333 |
| EMPLOYER POC CITY | Medford |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97504 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15412826770 |
| EMPLOYER POC EMAIL | sohpc@medford.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Forte |
| AGENT ATTORNEY FIRST NAME | Alexa |
| AGENT ATTORNEY ADDRESS1 | 625 Liberty Avenue |
| AGENT ATTORNEY ADDRESS2 | Floor 5 |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14122974611 |
| AGENT ATTORNEY EMAIL ADDRESS | jennifer.pack@dentons.com |
| LAWFIRM NAME BUSINESS NAME | Dentons Cohen & Grigsby P.C. |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2640 E Barnett Road |
| WORKSITE ADDRESS2 | Suite E333 |
| LCA CASE WORKLOC1 CITY | Medford |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97504 |
| LCA CASE WAGE RATE FROM | 210850 |
| LCA CASE WAGE RATE TO | 400000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 210850 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
