\ H1B CASE NUMBER I-200-19067-501833



CASE NUNBER: I-200-19067-501833

LCA CASE NUMBERI-200-19067-501833
STATUSCERTIFIED
LCA CASE SUBMIT2019-03-08
DECISION DATE2019-03-14
VISA CLASSH-1B
LCA CASE EMPLOYMENT START DATE2019-08-21
EMPLOYMENT END DATE2022-08-20
LCA CASE EMPLOYER NAMEPROVIDENCE HEALTH & SERVICES - WASHINGTON
EMPLOYER BUSINESS DBAPROVIDENCE MEDICAL GROUP
EMPLOYER ADDRESS1801 LIND AVE SW
EMPLOYER CITYRENTON
EMPLOYER STATEWA
EMPLOYER POSTAL CODE98057
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE4255253190
SECONDARY ENTITYFalse
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY NAMEBETSYVO
AGENT ATTORNEY CITYRENTON
AGENT ATTORNEY STATEWA
LCA CASE JOB TITLEPHYSICIAN ENDOCRINOLOGY
SOC CODE29-1063
SOC NAMEINTERNISTS, GENERAL
NAICS CODE622110
TOTAL WORKERS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
FULL TIME POSITIONTrue
PREVAILING WAGE105.47
PW UNIT OF PAYHour
PW WAGE LEVEL3
PW SOURCEOES
LCA CASE WAGE RATE FROM105.47
LCA CASE WAGE RATE UNITHour
H1B DEPENDENTFalse
LCA CASE WORKLOC1 CITYSpokane
WORKSITE COUNTYSpokane
LCA CASE WORKLOC1 STATEWA
WORKSITE POSTAL CODE99204
WILLFUL VIOLATORFalse