| LCA CASE NUMBER | I-200-15278-845642 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 10/13/15 |
| DECISION DATE | 10/19/15 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 11/1/15 |
| EMPLOYMENT END DATE | 10/31/18 |
| LCA CASE EMPLOYER NAME | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| EMPLOYER ADDRESS | 1801 LIND AVE SW |
| EMPLOYER CITY | RENTON |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98057 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 4255253355 |
| AGENT ATTORNEY NAME | RAILTON, WILLIAM |
| AGENT ATTORNEY CITY | BELLINGHAM |
| AGENT ATTORNEY STATE | WA |
| LCA CASE JOB TITLE | ETL DEVELOPER 3 - LEAD |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 105,706.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 115,898.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | BEAVERTON |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97005 |
