| LCA CASE NUMBER | I-200-24232-278208 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-08-19 |
| DECISION DATE | 2024-08-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician - Family Medicine w/o OB |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-11-02 |
| END DATE | 2027-11-01 |
| 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 | PeaceHealth |
| EMPLOYER ADDRESS1 | 1115 SE 164th Avenue |
| EMPLOYER ADDRESS2 | Dept. 302 |
| EMPLOYER CITY | Vancouver |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98683 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13607291279 |
| EMPLOYER FEIN | 91-0939479 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Karnes |
| EMPLOYER POC FIRST NAME | Thomas |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Senior Vice President, General Counsel |
| EMPLOYER POC ADDRESS1 | 1115 SE 164th Ave |
| EMPLOYER POC ADDRESS2 | Dept. 302 |
| EMPLOYER POC CITY | Vancouver |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98683 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13607291279 |
| EMPLOYER POC EMAIL | TKarnes@peacehealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | LaMorticella |
| AGENT ATTORNEY FIRST NAME | Melina |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 888 SW 5th Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 1600 |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15038022122 |
| AGENT ATTORNEY EMAIL ADDRESS | melina.lamorticella@tonkon.com |
| LAWFIRM NAME BUSINESS NAME | Tonkon Torp LLP |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1990 Hospital Drive |
| LCA CASE WORKLOC1 CITY | Sedro-Woolley |
| WORKSITE COUNTY | SKAGIT |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98284 |
| LCA CASE WAGE RATE FROM | 126069 |
| LCA CASE WAGE RATE TO | 222853.8 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 126069 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |