| LCA CASE NUMBER | I-200-24131-983096 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-05-10 |
| DECISION DATE | 2024-05-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-07-12 |
| END DATE | 2027-07-11 |
| 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 | Providence Health & Services - Washington |
| TRADE NAME DBA | Providence St. Mary Medical Center |
| EMPLOYER ADDRESS1 | 1801 Lind Ave SW, Morin Building |
| EMPLOYER ADDRESS2 | 1st Floor |
| EMPLOYER CITY | Renton |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98057 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14256156359 |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | Jeanes |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC MIDDLE NAME | Salazar |
| EMPLOYER POC JOB TITLE | In-House Immigration Counsel |
| EMPLOYER POC ADDRESS1 | 1801 Lind Avenue SW, Morin Building |
| EMPLOYER POC ADDRESS2 | 1st Floor |
| EMPLOYER POC CITY | Renton |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98057 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14256156359 |
| EMPLOYER POC EMAIL | maria.jeanes@providence.org |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 380 Chase Avenue |
| WORKSITE ADDRESS2 | Providence Chase Medical Complex |
| LCA CASE WORKLOC1 CITY | Walla Walla |
| WORKSITE COUNTY | WALLA WALLA |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 99362 |
| LCA CASE WAGE RATE FROM | 117624 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 117624 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |