\ H1B CASE NUMBER I-200-24099-865253



CASE NUNBER: I-200-24099-865253

LCA CASE NUMBERI-200-24099-865253
STATUSCertified - Withdrawn
LCA CASE SUBMIT2024-04-08
DECISION DATE2024-04-23
ORIGINAL CERT DATE2024-04-15
VISA CLASSH-1B
LCA CASE JOB TITLELead Dentist
SOC CODE29-1021.00
SOC TITLEDentists, General
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2024-10-08
END DATE2027-10-07
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMECommunity Health Association of Spokane
EMPLOYER ADDRESS1611 N Iron Bridge Way
EMPLOYER CITYSpokane
EMPLOYER STATEWA
EMPLOYER POSTAL CODE99202
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE15094448888
NAICS CODE621111
EMPLOYER POC LAST NAMEHalvorson
EMPLOYER POC FIRST NAMENathan
EMPLOYER POC JOB TITLECompliance Officer
EMPLOYER POC ADDRESS1611 N Iron Bridge Way
EMPLOYER POC CITYSpokane
EMPLOYER POC STATEWA
EMPLOYER POC POSTAL CODE99202
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE15094448888
EMPLOYER POC EMAILnhalvorson@chas.org
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMERoach
AGENT ATTORNEY FIRST NAMEEamonn
AGENT ATTORNEY MIDDLE NAMEPatrick Sullivan
AGENT ATTORNEY ADDRESS19221 Sandifur Parkway
AGENT ATTORNEY ADDRESS2Suite C
AGENT ATTORNEY CITYPasco
AGENT ATTORNEY STATEWA
AGENT ATTORNEY POSTAL CODE99301
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE15095477587
AGENT ATTORNEY EMAIL ADDRESSeroach@roachlaw.com
LAWFIRM NAME BUSINESS NAMERoach & Bishop, LLP
STATE OF HIGHEST COURTWA
NAME OF HIGHEST STATE COURTWashington Supreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS1203 E. Dalke Ave.
LCA CASE WORKLOC1 CITYSpokane
WORKSITE COUNTYSPOKANE
LCA CASE WORKLOC1 STATEWA
WORKSITE POSTAL CODE99208
LCA CASE WAGE RATE FROM210350
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE210350
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2023 - 6/30/2024
TOTAL WORKSITE LOCATIONS7
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMETodd
PREPARER FIRST NAMERachel
PREPARER MIDDLE INITIALB
PREPARER BUSINESS NAMERoach & Bishop LLP
PREPARER EMAILrtodd@roachlaw.com