| LCA CASE NUMBER | I-200-23125-999022 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2023-05-05 |
| DECISION DATE | 2023-08-03 |
| ORIGINAL CERT DATE | 2023-05-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| 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 | Willamette Dental Group, P.C. |
| EMPLOYER ADDRESS1 | 6950 NE Campus Way |
| EMPLOYER CITY | Hillsboro |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 97124-5611 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15039522586 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Ellis |
| EMPLOYER POC FIRST NAME | Stephanie |
| EMPLOYER POC JOB TITLE | Legal Services Manager |
| EMPLOYER POC ADDRESS1 | 6950 NE Campus Way |
| EMPLOYER POC CITY | Hillsboro |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97124-5611 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15039522586 |
| EMPLOYER POC EMAIL | legal@willamettedental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Railton |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 1305 11th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 301 |
| AGENT ATTORNEY CITY | Bellingham |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98225 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13606715945 |
| AGENT ATTORNEY EMAIL ADDRESS | srailton@cascadia.com |
| LAWFIRM NAME BUSINESS NAME | Cascadia Cross-Border Law |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4164 Meridian Street |
| WORKSITE ADDRESS2 | Suite 300 |
| LCA CASE WORKLOC1 CITY | Bellingham |
| WORKSITE COUNTY | WHATCOM |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98226 |
| LCA CASE WAGE RATE FROM | 109117 |
| LCA CASE WAGE RATE TO | 175000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 109117 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
