| LCA CASE NUMBER | I-200-24199-203703 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-07-17 |
| DECISION DATE | 2024-07-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-09-09 |
| END DATE | 2027-09-08 |
| 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 | Salem Health |
| TRADE NAME DBA | Salem Health Medical Group |
| EMPLOYER ADDRESS1 | 890 Oak St. SE |
| EMPLOYER CITY | Salem |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15038143737 |
| EMPLOYER FEIN | 93-0579722 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Corum |
| EMPLOYER POC FIRST NAME | Shea |
| EMPLOYER POC JOB TITLE | Interim Chief Human Resources Officer |
| EMPLOYER POC ADDRESS1 | 890 Oak St. SE |
| EMPLOYER POC CITY | Salem |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15038143737 |
| EMPLOYER POC EMAIL | shea.corum@salemhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Moody |
| AGENT ATTORNEY FIRST NAME | Meghan |
| AGENT ATTORNEY ADDRESS1 | 1028 Oakhaven Rd. |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016826455 |
| AGENT ATTORNEY EMAIL ADDRESS | mmoody@visalaw.com |
| LAWFIRM NAME BUSINESS NAME | Siskind Susser PC |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5050 Skyline Village Loop S |
| LCA CASE WORKLOC1 CITY | Salem |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97306 |
| LCA CASE WAGE RATE FROM | 318200 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 239200 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Moran |
| PREPARER FIRST NAME | Jacqueline |
| PREPARER BUSINESS NAME | Siskind Susser PC |
| PREPARER EMAIL | jmoran@visalaw.com |