| LCA CASE NUMBER | I-200-20294-883329 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-20 |
| DECISION DATE | 2020-10-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Anesthesiologist |
| SOC CODE | 29-1061.00 |
| SOC TITLE | Anesthesiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-01 |
| END DATE | 2023-12-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Pacific Anesthesia, P.C. |
| EMPLOYER ADDRESS1 | 11808 Northup Way |
| EMPLOYER ADDRESS2 | #W-300 |
| EMPLOYER CITY | Bellevue |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98005 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14252841545 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Orvosh |
| EMPLOYER POC FIRST NAME | Dennis |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS 1 | 11808 Northup Way |
| EMPLOYER POC ADDRESS 2 | #W-300 |
| EMPLOYER POC CITY | Bellevue |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98005 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14252841548 |
| EMPLOYER POC EMAIL | [email protected] |
| 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 | [email protected] |
| 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 | True |
| SECONDARY ENTITY BUSINESS NAME | Providence St. Peter Hospital |
| WORKSITE ADDRESS1 | 413 Lilly Rd NE |
| LCA CASE WORKLOC1 CITY | Olympia |
| WORKSITE COUNTY | THURSTON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98506 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Railton |
| PREPARER FIRST NAME | William |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Cascadia Cross-Border Law |
| PREPARER EMAIL | [email protected] |
