| LCA CASE NUMBER | I-200-21362-790327 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-28 |
| DECISION DATE | 2022-01-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-03-18 |
| END DATE | 2025-03-17 |
| 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 | Providence Health & Services - Oregon |
| EMPLOYER ADDRESS1 | 1801 Lind Ave SW |
| EMPLOYER CITY | Renton |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98057 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14255253954 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Jeanes |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC MIDDLE NAME | Salazar |
| EMPLOYER POC JOB TITLE | Immigration Program Manager |
| EMPLOYER POC ADDRESS1 | 1801 Lind Avenue SW |
| EMPLOYER POC CITY | Renton |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98057 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14255253954 |
| EMPLOYER POC EMAIL | Maria.Jeanes@providence.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rawson |
| AGENT ATTORNEY FIRST NAME | Richard |
| AGENT ATTORNEY MIDDLE NAME | Mowry |
| AGENT ATTORNEY ADDRESS1 | 920 Fifth Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 3300 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12067578128 |
| AGENT ATTORNEY EMAIL ADDRESS | richrawson@dwt.com |
| LAWFIRM NAME BUSINESS NAME | Davis Wright Tremaine LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1111 Crater Lake Avenue |
| LCA CASE WORKLOC1 CITY | Medford |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97504 |
| LCA CASE WAGE RATE FROM | 262870.4 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 91811 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
