| LCA CASE NUMBER | I-200-19042-640536 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-02-12 |
| DECISION DATE | 2019-02-19 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-05-15 |
| EMPLOYMENT END DATE | 2022-05-14 |
| LCA CASE EMPLOYER NAME | PROVIDENCE HEALTH & SERVICES - WA |
| EMPLOYER ADDRESS | 1801 LIND AVE SW |
| EMPLOYER CITY | RENTON |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98057 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4255253954 |
| SECONDARY ENTITY | False |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | BETSYVO |
| AGENT ATTORNEY CITY | RENTON |
| AGENT ATTORNEY STATE | WA |
| LCA CASE JOB TITLE | NURSE PRACTITIONER |
| SOC CODE | 29-1171 |
| SOC NAME | NURSE PRACTITIONERS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | True |
| PREVAILING WAGE | 101150 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | 2 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 101150 |
| LCA CASE WAGE RATE TO | 112590 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | Rochester |
| WORKSITE COUNTY | Thurston |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98579 |
| WILLFUL VIOLATOR | False |
