| LCA CASE NUMBER | I-200-19122-681113 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-06-06 |
| DECISION DATE | 2019-06-12 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-09-03 |
| EMPLOYMENT END DATE | 2022-09-02 |
| LCA CASE EMPLOYER NAME | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| EMPLOYER BUSINESS DBA | PROVIDENCE MEDICAL GROUP SOUTHEAST WASHINGTON |
| EMPLOYER ADDRESS | 1801 LIND AVENUE SW, PARISEAU BUILDING |
| 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 | MICHELLESALTER |
| AGENT ATTORNEY CITY | SEATTLE |
| AGENT ATTORNEY STATE | WA |
| LCA CASE JOB TITLE | PHYSICIAN, PULMONARY AND CRITICAL CARE |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 6211 |
| 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 | 208000 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | 5 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 395857 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | Walla Walla |
| WORKSITE COUNTY | Walla Walla |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 99362 |
| WILLFUL VIOLATOR | False |
